Testavia Free Nursing Practice Question - QA
A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first?
A. An adolescent who has sickle cell anemia and slurred speech.
Slurred speech may indicate a stroke or other neurological complication, which is a medical emergency. Sickle cell anemia can lead to such complications, and immediate assessment is crucial.
B. A toddler who has a partial-thickness burn on his right hand and requires a dressing change.
While a partial-thickness burn requires care, it is not as immediately life-threatening as potential neurological complications. The toddler should be assessed after more urgent cases.
C. An adolescent who is in skin traction and reports a pain level of 7 on a scale from 0 to 10.
A pain level of 7 is significant, but pain management can be addressed after more critical needs are met. The adolescent's pain should be managed effectively once urgent cases are stabilized.
D. A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillin.
Administering an IV bolus of nafcillin for osteomyelitis is important, but it does not take precedence over potential neurological issues. The toddler should receive the medication promptly after urgent assessments.
This question is an excerpt from Testavia's nursing testbank - RN ATI Nursing Care of Children 2019. Take the full exam now
Full Explanation
Choice A reason: Slurred speech may indicate a stroke or other neurological complication, which is a medical emergency. Sickle cell anemia can lead to such complications, and immediate assessment is crucial.
Choice B reason: While a partial-thickness burn requires care, it is not as immediately life-threatening as potential neurological complications. The toddler should be assessed after more urgent cases.
Choice C reason: A pain level of 7 is significant, but pain management can be addressed after more critical needs are met. The adolescent's pain should be managed effectively once urgent cases are stabilized.
Choice D reason: Administering an IV bolus of nafcillin for osteomyelitis is important, but it does not take precedence over potential neurological issues. The toddler should receive the medication promptly after urgent assessments.