Difficulty: Medium
Average Score: 77%
Simulated
The nurse in the emergency department (ED) is reviewing triage data for assigned clients. The nurse should initially follow up on the client who
Correct answer
C
Rationale
A pregnant client with fever and vesicular rash (C) suggests possible varicella or herpes, posing risks to mother and fetus, requiring immediate follow-up. TB screening (A), foot ulcer dressing (B), and HIV concern (D) are less urgent, as they are preventive or chronic.