NursingPlex
    Sign In
    Ati rn vati comprehensive predictor proctored exam

    A nurse receives change-of-shift report. Which of the following clients should the nurse attend to first?

    Explanation & Rationale

    A. A client who has a productive cough and an oral temperature of 36° C (96.8°F): A normal temperature and stable vital signs indicate that this client’s condition is not immediately life-threatening. Assessment is important but not the priority. B. A client who reports tingling in the fingers following a thyroidectomy: Tingling in the fingers may indicate hypocalcemia from potential injury or removal of the parathyroid glands during thyroidectomy. This is an acute complication that can lead to tetany or cardiac dysrhythmias, making it the highest priority. C. A client who is in a long leg cast and has +2 pedal pulses bilaterally: Adequate pedal pulses indicate good circulation. While monitoring for neurovascular compromise is necessary, this client is currently stable. D. A client who has dark, foul-smelling urine and a urine output of 320 mL in the last 8 hr: Oliguria and infection risk are concerning and require follow-up, but these findings do not pose an immediate threat compared with potential hypocalcemia after thyroid surgery.

    🔒 Submit your answer to reveal