• NCLEX Pretest
  • Time Used 0:00:00

The nurse receives shift report on four patients. In which order does the nurse see the patients? Place the answer options in the correct order.

Incorrect

  • A 60-year-old woman with new onset fatigue, stomach pain, and sweating
  • A 60-year-old woman with tachypnea and new onset cough productive of green sputum
  • A 60-year-old man with new onset abdominal pain and diarrhea
  • A 60-year-old man with new onset burning with urination

Rationale

The woman with fatigue, stomach pain, and sweating may be having a myocardial infarction. These are “atypical” symptoms of myocardial infarction but more common in middle-aged women. The next priority is the man experiencing tachypnea. Breathing and circulation issues usually take priority over excretory functions. The diarrheal illness is slightly more pressing than the urinary complaints since there may be an issue with fluid status and electrolytes (though perhaps not with a new onset condition). Dysuria is a low priority complaint if urination is still occurring.

  • Category: Management of Care
  • Difficulty: 7
  • Tags: Delegation, Prioritization and Leadership Assessment Cardiovascular Communication & Documentation Crisis Management Elimination Health Care Quality Health Promotion

Question 16 of 30

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