Practice Question
A nurse on a med-surge unit is caring for four clients. The nurse should recognize that which of the following clients is the priority?
Answer Choices:
Correct Answer:
A client who has peripheral vascular disease and has an absent pulse in the right foot
Rationale:
🎲An absent peripheral pulse in a client with peripheral vascular disease may indicate acute arterial occlusion, which is a vascular emergency requiring immediate intervention to preserve limb viability.
🎲This client is the priority due to potential loss of perfusion.
🎲While urinary retention after laminectomy is urgent, and crying before surgery is emotionally important, they are not as time-sensitive or life-altering as compromised circulation.
🎲Dressing changes can be scheduled, making them a lower priority.
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This question is from RN Leadership Level 3 70 which contains 70 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Leadership & Management
- Answer Choices: 4