Priority Patient Quiz

Which Patient is The Priority?

quiz

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01

When prioritizing care, the nurse should implement which action first?

Report a hemoglobin level of 12.5g/dl to the health care provider

Administer sliding scale insulin to a client with a blood glucose of 350 mmol/L

evaluate a.m labs on a client who is prescribed a potassium sparing diuretic

right!!!

This answer is correctThis client has a blood glucose of 350 mmol/L and needs sliding scale insulin. Hyperglycemia left untreated can result in diabetic ketoacidosis. This client needs to be treated first.

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02

The nurse provides care for clients who receive medical care at a community health clinic. Which client does the nurse prioritize?

A client who is prescribed ziprasidone and reports blurred vision and increased thirst.

An adult client, diagnosed with bipolar affective disorder and prescribed lithium, who reports diarrhea and vomiting.

A client who is prescribed risperidone and presents with altered mentation, high fever, and muscle rigidity.

riGHT!!!

This client is exhibiting symptoms of neuroleptic malignant syndrome (NMS), a life-threatening adverse reaction to the prescribed medication; therefore, this client requires priority action by the nurse.

Good JOb!

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03

The nurse is caring for a client who is six hours postoperative following a thoracotomy. Which intervention noted in the plan of care does the nurse prioritize in order to promote circulation?

ensure bowel sounds are present in all four quadrants.

assist the client to turn, cough and deep breathe.

assist the client with early ambulation.

RIGHT!!!

This answer is correct because assisting the client with early ambulation promotes circulation and helps prevent blood clots. During the postoperative period, the client is at an increased risk for blood clots.

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04

Sally is a nurse working in an emergency department and receives a client after a radiological incident. Which task is utmost priority for the nurse to do first?

decontaminate the examination room the client is placed in

decontaminate the open wound on the client's thigh

Decontaminate the client's clothing

RIGHT!!!

Decontaminating an open wound is the first priority for the client. This minimizes absorption of radiation in the client’s body.

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