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📍Nclex Kurs Yeni Örnek Soru - 12.09.2024

A nurse in a medical-surgical unit is caring for four clients. Based on the information provided, which client’s problem is of least priority?

Client 1: A 65-year-old with chronic obstructive pulmonary disease (COPD) who is experiencing shortness of breath and an oxygen saturation of 89%.

Client 2: A 70-year-old with heart failure who reports sudden onset of shortness of breath and has bilateral crackles in the lungs.

Client 3: A 45-year-old post-operative client who is experiencing severe pain rated 9/10 at the surgical site.

Client 4: A 60-year-old diabetic with a fasting blood glucose level of 200 mg/dL.


________________________________________________________


Correct Answer:D) Client 4


Explanation:


Client 4 has an elevated blood glucose level (200 mg/dL), which is concerning but does not pose an immediate life-threatening risk. It can be managed with insulin or other glucose-lowering interventions without urgent care.

Client 1 is at risk for hypoxemia, which can quickly worsen and become life-threatening if untreated. Client 2's sudden onset of shortness of breath and bilateral crackles indicates pulmonary edema, a serious complication of heart failure that requires urgent intervention.

Client 3's severe post-operative pain needs timely management, as uncontrolled pain can lead to complications such as increased blood pressure and delayed recovery, but it is not as immediately life-threatening as Client 1 or Client 2. Therefore, Client 4's elevated blood glucose is the least urgent.


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