NursingPlex
    Sign In
    Hesi RN Exit Proctored Exam
    Select All That Apply

    Exhibits What goal(s) should the nurse prioritize in the care plan for the client while in the emergency department? Select all that apply.

    Explanation & Rationale

    A. While addressing anxiety is important, it is not the most immediate priority in the emergency setting where acute pain, potential infection, and fluid management take precedence. B. Given the diagnosis of appendicitis, preventing infection is crucial. The client is at risk for developing an infection or sepsis if the appendix perforates, which could result in peritonitis. C. The client is experiencing severe abdominal pain (pain rating of 9/10). Effective pain management is essential for the client’s comfort and stabilization. D. This is more relevant post-surgery. In the emergency department, the focus should be on stabilizing the client and preparing her for surgery. E. The client has regular bowel movements and this is not a priority in the context of acute appendicitis. F. This is a consideration for longer-term inpatient care or post-surgery, not an immediate priority in the emergency setting. G. The client is receiving a bolus of Lactated Ringer’s to manage her fluid volume. Maintaining adequate hydration and correcting any potential dehydration or fluid imbalance is vital. H. Educating the client about her diagnosis and the plan of care, including the upcoming surgery, helps reduce anxiety and ensures that she is informed about her treatment.

    🔒 Submit your answer to reveal