Difficulty: Medium
Average Score: 70%
Simulated
During change-of-shift report, the nurse learns about the following four patients. Which patient requires assessment first?
Correct answer
C
Rationale
The 55-year-old with cirrhosis and ascites who has an oral temperature of 102°F (38.8°C) requires assessment first. This patient presents with a fever and underlying cirrhosis with ascites, a critical combination