Difficulty: Medium
Average Score: 74%
Simulated
A nurse has just received handoff communication at the start of their shift. After reviewing each clientÔÇÖs status, which of the following clients should the nurse see first?
Correct answer
C
Rationale
The nurse should see client C first due to the critical condition of the 3-year-old toddler who aspirated sunflower seeds and has low O2 saturation. This client's airway may be compromised, requiring immediate intervention to prevent respiratory distress or hypoxia. This situation is time-sensitive and poses the highest risk to the client's well-being.
Client A can be seen after client C as the child with asthma exacerbation used a rescue inhaler 16 hours ago, indicating a less urgent need for assessment. Client B is stable after an appendectomy and can be discharged soon, making them a lower priority. Client D is also stable with adequate hydration and intake, so can be assessed after clients C and A.
Client A can be seen after client C as the child with asthma exacerbation used a rescue inhaler 16 hours ago, indicating a less urgent need for assessment. Client B is stable after an appendectomy and can be discharged soon, making them a lower priority. Client D is also stable with adequate hydration and intake, so can be assessed after clients C and A.