NCLEX-PN

Category - Coordinated Care

The nurse receives the report from the morning nurse. Who should the nurse see first?
  1. A 23-year-old female client with an ongoing blood transfusion. The client has a low grade fever of 37.9C
  2. A 42-year-old female client who is on internal radiotherapy. The client is complaining of muscle weakness.
  3. A 35-year-old female client with an ongoing chemotherapy infusion. The client is resting comfortably.
  4. A 42-year-old male client with sudden shortness of breath. The client has a respiratory rate of 24 breaths/min and is maintained by oxygen at 2L/min.
Explanation
Answer: D - Airway should be given priority. All other options pose no immediate threat to the clients.
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