Difficulty: Medium
Average Score: 65%
Full-length
Passage / Scenario
The nurse has just received report from the previous shift.Which of the following clients should the nurse see FIRST?
Correct answer
C
Rationale
Strategy: Determine the least stable client. (1) not an immediate concern (2) PTT is within normal limits, should give medication (3) correct-indicates hypersensitivity reaction, should stop medication and notify the physician (4) should decrease rate to prevent irritation of the vein