Difficulty: Medium
Average Score: 75%
Simulated
Following morning shift report, the nurse identifies care needs for four clients. Which client should be the nurseÔÇÖs priority?
Correct answer
B
Rationale
A. No time is noted for the administration of ondansetron (Zofran) prior to chemotherapy treatment; this client is not the nurseÔÇÖs priority. B. The client with neutropenia should be the nurseÔÇÖs priority. If seen first, microorganisms from other clients would be less likely to be transmitted to the client. This client is at risk for infection and severe sepsis because the absolute neutrophil count is less than 1001mm3 (normal = 1500 to 8000/mm3). C. This client is stable; another person can take this client to radiation therapy, and the nurseÔÇÖs assessment can wait until the client returns. D. The tube feeding can be initiated after the needs of the most critical client are met.