RN Hesi Exit Proctored Exam
The nurse is assigned to care for four surgical clients. After receiving report, which client should the nurse see first?
Explanation & Rationale
A) Incorrect- Hip arthroplasty is a scheduled procedure, and there is no immediate indication of a critical condition that requires urgent attention. B) Correct- Postoperative hemorrhage is a serious complication, and an older client receiving packed red blood cells may be experiencing active bleeding. This situation requires immediate assessment and intervention. C) Incorrect- While continuous bladder irrigation requires monitoring, it is not as urgent as a potential postoperative hemorrhage. D) Incorrect- Pain management is important, but it is not as urgent as assessing a client who may be experiencing active bleeding.
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