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    Nurs 547 Med Surg Proctored Exam(Examplify)

    The critical care nurse is planning patient care at the beginning of their shift (0730). Which of the following patient's should the nurse see first?

    Explanation & Rationale

    A. A patient with ulcerative colitis who has peripheral edema and complains of abdominal pain: While edema and abdominal pain are concerning and require monitoring, these symptoms are not immediately life-threatening. The nurse can assess this patient after higher-priority concerns are addressed. B. A patient with chronic kidney disease who is scheduled for dialysis at 0800: Timing is important, but this patient’s condition is stable and predictable, as dialysis is scheduled and not emergent. The nurse can prepare the patient while addressing more acute, potentially life-threatening conditions first. C. A patient with burns to their neck and chest who complains of throat pain: Throat pain in a patient with burns to the neck and chest raises immediate concern for airway compromise due to edema or inhalation injury. Airway obstruction can progress rapidly and become life-threatening, making this patient the highest priority for assessment and intervention. D. A patient with Crohn’s who reports frequent diarrhea with blood seen on the toilet paper: Frequent diarrhea and minor bleeding are concerning for fluid and electrolyte imbalance, but this is not as acutely life-threatening as a potential airway compromise.

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