Client Assessment Priorities in Nursing
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Questions and Answers

What is a typical finding in clients with COPD related to lung sounds?

  • Wheezing sounds
  • Crackling sounds
  • Increased lung sounds
  • Diminished lung sounds (correct)
  • What is the expected timeframe for a patient to void after the removal of an indwelling urinary catheter?

  • 6 to 8 hours (correct)
  • 24 hours
  • 10 to 12 hours
  • 1 to 3 hours
  • Which client condition requires the highest priority assessment by the nurse?

  • Client with an indwelling urinary catheter and no voiding
  • Client with COPD and diminished lung sounds
  • Client with a hip replacement and a petechial rash (correct)
  • Client with chronic liver cirrhosis and prolonged prothrombin time
  • What assessment should a nurse prioritize if a patient has not voided after catheter removal?

    <p>Evaluate for fat embolism syndrome</p> Signup and view all the answers

    What key sign should be monitored in a client suspected of having fat embolism syndrome?

    <p>Petechial rash on the upper body</p> Signup and view all the answers

    What physical characteristic may be observed in patients with chronic hyperinflation of the lungs?

    <p>Barrel-chested appearance</p> Signup and view all the answers

    What does the presence of a prolonged prothrombin time in a client with chronic liver cirrhosis indicate?

    <p>Increased risk of bleeding</p> Signup and view all the answers

    Which statement is accurate regarding the implications of diminished lung sounds in COPD?

    <p>They reflect reduced ventilation</p> Signup and view all the answers

    A client with chronic obstructive pulmonary disease (COPD) and diminished lung sounds may be experiencing what complication?

    <p>Worsening respiratory failure</p> Signup and view all the answers

    What does restlessness in a post-operative hip replacement client typically suggest?

    <p>Potential respiratory issue</p> Signup and view all the answers

    What is a common consequence of chronic liver disease related to blood coagulation?

    <p>Prolonged prothrombin time</p> Signup and view all the answers

    What indicates potential fat embolism syndrome?

    <p>Restlessness and a petechial rash</p> Signup and view all the answers

    What complication may arise from a long-bone fracture?

    <p>Fat embolism syndrome</p> Signup and view all the answers

    In patients with chronic liver disease, which symptom is not expected unless there are signs of bleeding?

    <p>Dark stools</p> Signup and view all the answers

    What does prolonged prothrombin time (INR) in chronic liver disease patients usually indicate?

    <p>Reduced synthesis of clotting factors</p> Signup and view all the answers

    Study Notes

    Client Assessment Priorities

    • A client with chronic liver cirrhosis, prolonged prothrombin time, and low platelet count needs immediate assessment.
    • Restlessness and a petechial rash indicate possible fat embolism syndrome, requiring immediate intervention.
    • A client with a discontinued indwelling urinary catheter that has not voided within 6-8 hours necessitates immediate assessment for bladder distention or urinary retention.
    • A client with chronic obstructive pulmonary disease (COPD) and diminished lung sounds may need further evaluation, but is not the immediate priority.
    • A client who had hip replacement surgery yesterday, is restless, and has a petechial rash on the neck requires assessment, but not the highest priority.

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    Description

    This quiz focuses on prioritizing client assessments based on various medical conditions. You will evaluate scenarios involving chronic liver cirrhosis, fat embolism syndrome, urinary retention, and COPD. Test your critical thinking skills in determining the most urgent needs of each client.

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