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.
📌Yeni Nclex-RN 2 aylık Ekim-Kasım Kursu Programı, % 20 İndirimli kayıt imkanı…
📌Nclex Kurs Canlı Zoom Dersleri günleri;
📌01-02-03-15-16-17 Ekim 2024
📌12-13-14-26-27-28 Kasım 2024
📌%20 indirimli kayıt Kodu: NCLEX2
📌İndirim kodu sadece sitemize üye olan üyelerimiz için geçerlidir. Üyelik ücretsizdir.
📌 Registration Link;
📌Kontenjanlar dolmadan yerinizi ayırtmayı unutmayınız lütfen.
📌Daha detaylı bilgi için sitemizi inceleyebilirsiniz. Sevgiler…
📌Nclex notları;
Comments