Practice Quiz

NCLEX-RN

Category - Care Management

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The nurse receives the client assignment for the day. After making her rounds, which of the following clients should be the 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 who received his pain medication 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.
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