Practice Quiz

NCLEX-RN

Category - Care Management

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Nina the New Nurse’s instructor used to say, “Even hectic days are good days if you’re a nurse who knows how to prioritize and manage time.” If that is true, Nina the New Nurse can see she could be in for a first-rate day! She has just received report of her clients for the day. Nina the New Nurse is trying to prioritize her clients. Which client should Nina the New Nurse see first?
  1. 52-year-old male, admitted for acute myelogenous leukemia (AML); receiving second of 2 units PRBCs, approximately ½ unit still is infusing.
  2. 70-year-old female, admitted for bronchoscopy this morning.
  3. 18-year-old female, sickle cell crisis; IV infiltrated.
  4. 74-year-old male, colon surgery 4-days ago, history of inflammatory bowel disease (IBD), complaining of a leaky colostomy bag.
Explanation
Answer: C - Continuous infusion of IV fluids is important to reduce or prevent clotting in a client experiencing sickle cell crisis. Report of the client receiving transfusion of PRBCs indicates an infusion in progress, but it does not indicate the client is not stable. A nurse should consider the potential for a life-threatening event when prioritizing.
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