the nurse is caring for 4 clients what client should the nurse see first

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. The nurse is caring for 4 clients. What client should the nurse see first?

A. A client with multiple children visiting
B. A client with lupus asking for dinner
C. A client on Methotrexate with a fever
D. A client with chronic rheumatic pain

Correct answer: C

Rationale: The correct answer is the client on Methotrexate with a fever. Fever in a client on Methotrexate, an immunosuppressant, could indicate a serious infection or adverse drug reaction requiring immediate attention to prevent complications. The other choices do not present immediate life-threatening concerns. A client with lupus asking for dinner can wait, a client with chronic rheumatic pain may need pain management but is not the priority over a fever in a client on Methotrexate, and a client with children visiting does not pose an urgent medical issue.

2. When providing a routine bed bath, what action does the nurse complete first?

A. Cleanse the client's feet
B. Cleanse the client's hands
C. Cleanse the client's perineal area
D. Cleanse the client's face

Correct answer: D

Rationale:

3. What medication class can decrease tissue in inflammation but delays bone healing?

A. Opioids
B. Anticoagulants
C. Narcotics
D. Nonsteroidal anti-inflammatory drugs (NSAIDS)

Correct answer: D

Rationale:

4. What intervention by the nurse would be the best to prevent deep vein thrombosis after a fracture of the hip?

A. Encouraging bedrest
B. Applying antiembolism stockings
C. Tell the client to take anticoagulants
D. Teaching about smoking cessation

Correct answer: B

Rationale: The best intervention to prevent deep vein thrombosis (DVT) after a fracture of the hip is to apply antiembolism stockings. These stockings help promote circulation and prevent blood clots from forming in the legs due to immobility. Encouraging bedrest is not recommended as it can increase the risk of DVT. While anticoagulants are used in some cases, the primary prevention method is mechanical prophylaxis like antiembolism stockings. Teaching about smoking cessation is important for overall health but is not directly related to preventing DVT in this scenario.