Pn Adult Medical Surgical 2020 Questions And Answers 100% Verified A+ Guaranteed

TEST A nurse is receiving a change-of-shift report about the care of four clients. Which of the following clients should the nurse see first? a) A client who displays increased confusion over the past 4 hr b) A client who has a blood glucose level of 128 mg/dL c) A client who has a blood pressure of 138/88 mm Hg d) A client who reports a pain level of 4 on a scale of 0 to 10 {Ans: A. A client who displays increased confusion over the past 4 hr Rationale: A nurse is receiving a change-of-shift report about the care of four clients. The nurse should see the client who displays increased confusion over the past 4 hours first. This could be indicative of a serious medical condition, such as a stroke or hypoglycemia1. The nurse should assess the client's vital signs, blood glucose level, and neurological status to determine the cause of the confusion and initiate appropriate interventions. The other clients also require attention, but their conditions are not as urgent as that of the client with increased confusion. The client with a blood glucose level of 128 mg/dL may require insulin administration or dietary modifications. The