Difficulty: Medium
Average Score: 84%
Full-length
Passage / Scenario
The nurse has just received report from the previous shift.Which of the following patients should the nurse see FIRST?
Correct answer
B
Rationale
Strategy: Determine the least stable client. (1) leg needs to be abducted at all times, ice to operative site, turn patient as ordered (2) correct-life-threatening condition which can last longer than 24 hours, constantly monitor client (3) requires follow-up, assess breath sounds (4) monitor vital signs, I and O, teach to modify lifestyle (stop smoking, reduce stress, modify intake of calories, fat, and salt)