Difficulty: Medium
Average Score: 91%
Simulated
Passage / Scenario
Four clients with various conditionsA nurse is caring for four clients. Which of the following assessment findings is the priority?
Correct answer
B
Rationale
The correct answer is B: A client who has a femur fracture and reports feeling short of breath. This assessment finding is the priority because shortness of breath could indicate a pulmonary embolism, a life-threatening complication in clients with a fracture. Immediate action is needed to prevent further complications.
Choice A: Facial drooping following a stroke is concerning but does not require immediate intervention compared to a potential pulmonary embolism.
Choice C: Pain after appendectomy is expected and can be managed with appropriate pain medication.
Choice D: Serosanguineous drainage on a wound dressing after cholecystectomy is common and does not require immediate action unless there are signs of infection or increased drainage.
Choice A: Facial drooping following a stroke is concerning but does not require immediate intervention compared to a potential pulmonary embolism.
Choice C: Pain after appendectomy is expected and can be managed with appropriate pain medication.
Choice D: Serosanguineous drainage on a wound dressing after cholecystectomy is common and does not require immediate action unless there are signs of infection or increased drainage.