The urgent care clinic nurse is treating a client who is ...

[V@ndy87]

The urgent care clinic nurse is treating a client who is experiencing abdominal pain. The client states, I think I ate tainted food last night. What should the nurse do after the client states that the food was tainted?
 
  A) Ask the client open-ended questions to further assess the situation.
  B) Tell the client the healthcare provider does not need to assess the client.
  C) Call an ambulance before assessing the client any further.
  D) Advise the client to take an antacid.

Question 2

The nurse is assigned two clients. One client needs postoperative teaching in preparation for discharge and the other client with pneumonia has a PaCO2 of 85. Why does the nurse decide to see the client with pneumonia first?
 
  A) The nurse can delegate postoperative teaching to unlicensed assistive personnel (UAP).
  B) The client with pneumonia needs more care than the client needing postoperative teaching.
  C) The client with pneumonia may be experiencing respiratory distress.
  D) The room of the client with pneumonia is closer than that of the client needing postoperative teaching.

[strudel15]

Answer to Question 1

Answer: A

The nurse must recognize that the client has not given the nurse enough information. The client could, indeed, have eaten bad food or may be experiencing appendicitis. The nurse asks more questions followed by a physical examination. Short-cut decisions here could be harmful for this client. The nurse would not give advice about taking a medication. The nurse does not have enough information to make the decision to call an ambulance. Because the nurse does not have enough information, telling the client that a physician does not need to assess the client is inappropriate.

Answer to Question 2

Answer: C

The client with a PaCO2 of 85 could be in serious trouble. The nurse would decide to assess that client first in order to prevent dire consequences for the client. The client with pneumonia probably needs more care than the client preparing for discharge, but the reason for the decision is based on a potentially critical need by the client with pneumonia. The nurse cannot delegate discharge teaching to a UAP; even if delegation were permitted, the nurse would see the client with a high PaCO2 as being the greater priority. Placement of the client's room can be a decision that is made when considering time management issues; however, the physiological needs of the clients are the first consideration of the nurse.

[V@ndy87]

Gracias!

[shailee]

Excellent