NCLEX-RN

Category - Safety

The pediatric nurse is assigned to float in the new medical ward of the hospital. Which one of the following cases can be safely assigned to this nurse?
  1. A 48-year-old client with fever and abdominal cramps, reporting two episodes of diarrhea.
  2. A 17-year-old child who is agitated and has right lower quadrant abdominal pain.
  3. A 67-year-old client complaining of occasional episodes of nausea accompanied by vomiting of greenish bile.
  4. A 55-year-old client with a slightly distended abdomen and yellowish discoloration of the skin who is febrile.
Explanation
Answer: A - The client with fever and abdominal cramps and diarrhea who is suffering from food poisoning can safely be assigned to the pediatric nurse. This is the most stable client among the group. The 17-year-old who has left lower quadrant pain should be evaluated for appendicitis. The 67-year-old client needs evaluation for gall bladder problems, while the 55-year-old client needs evaluation for a liver problem.
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