Practice Quiz

CRNE Exam Prep

Category - Changes in Health

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The nurse receives the client assignment for the day. After making her rounds, which of the following clients would be nurse’s first priority?
  1. A client with a chest tube who needs assistance with ambulation
  2. A client scheduled for myelogram in 4 hours
  3. A client with fever and diaphoresis
  4. A client who had cholecystectomy 12 hours ago and who received his pain medications 15 minutes ago
Explanation
Answer: C - A nurse should first see the least stable client; therefore, the client with fever and diaphoresis must be the nurse’s first priority. The client scheduled for a diagnostic procedure in 4 hours and the client who needs assistance with ambulation are both stable and do not have priority needs. It is best that the nurse see the postoperative client when the medication has already taken effect.
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