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    ATI PN Comprehensive Predictor 2023 Proctored Exam 4

    A nurse is receiving change-of-shift report on four clients. Which of the following clients should the nurse plan to see first?

    Explanation & Rationale

    When prioritizing care, the nurse should consider the urgency and potential complications associated with each client's condition. Based on the given information, the nurse should plan to see the client who has a femur fracture and reports numbness of the toes first. The client with a femur fracture and numbness of the toes is experiencing a potential neurovascular compromise. Numbness can indicate impaired circulation or nerve damage, which requires immediate assessment and intervention to prevent further complications. The other clients also require attention, but their conditions are not as urgent as a potential neurovascular compromise. Here's a brief explanation of the other options: Option A, A client who has cirrhosis and severe pruritus is incorrect: Pruritus (severe itching) can be distressing for the client, but it is not an immediate life-threatening condition that requires immediate intervention. Option B, A client who had a laparoscopic appendectomy 8 hr ago and is awaiting discharge is incorrect: This client has already undergone surgery and is in the postoperative period. While they may require routine assessments and care, they are stable and can wait for the nurse's attention. Option D A client who had a renal biopsy 3 hr ago and has pink-tinged urine is incorrect: Pink-tinged urine following a renal biopsy can be expected due to blood in the urine. While the nurse should monitor the client's condition closely, it is not an immediate concern unless there is excessive bleeding or signs of complications.

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