Difficulty: Medium
Average Score: 75%
Simulated
The nurse is caring for a group of clients in the emergency department. Which client situation requires immediate follow-up? A client
Correct answer
B,C
Rationale
An outstanding insulin infusion order for diabetic ketoacidosis (B, C) is critical to prevent life-threatening metabolic deterioration. Flank pain with esmolol infusion (A) suggests aneurysm expansion or rupture, also urgent, but insulin (D) is more immediately actionable. Nitrate headaches (A) are common and benign, and discharge teaching (B) is non-urgent.