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Exam (elaborations)

Exam |Elaborated| UWORLD-Prioritization -Leadership and Managementnt

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Which client is most appropriate for the charge nurse in the postpartum unit to assign to the float nurse from the intensive care unit? Unordered Options Ordered Response 1. Client experiencing fever and pain with mastitis 2. Client preparing for discharge after cesarean birth 3. Client showing disinterest in caring for the newborn 4. Client with hysterectomy after postpartum hemorrhageThe nurse is managing assigned clients on the evening shift. Which client presentation is a priority? Unordered Options Ordered Response 1. Blunt head trauma with projectile vomiting 2. History of Alzheimer disease with agitation 3. History of carpal tunnel syndrome with hand numbness 4. History of third cranial nerve pathology with double visionThe nurse is caring for clients on a busy medical-surgical unit. Which client would be priority to assess first? Unordered Options Ordered Response 1. A client with an ileostomy bag that has leaked stool all over 2. A client with chronic obstructive pulmonary disease, diminished breath sounds, and SpO2 of 91% 3. A client with deep venous thrombosis who missed the last warfarin dose 4. A client with sepsis who is developing petechiaeA nurse receives the following change-of-shift morning report for the assigned clients. Which client should the nurse assess first? Unordered Options Ordered Response 1. Client 1 day postoperative with fine inspiratory crackles in the lung bases on auscultation who is to ambulate for the first time this morning 2. Client 1 day postoperative with serosanguineous drainage on the abdominal surgical dressing and temperature of 100.4 F (38 C) 3. Client 2 days postoperative receiving intermittent epidural bolus analgesia who now reports incisional pain as a 4 on a 0-10 scale 4. Client 2 days postoperative receiving fluids infusing at 125 mL/hr, with a Foley catheter and urine output of 100 mL during the last 8 hoursThe nurse receives report on 4 assigned clients. Which client should the nurse assess first? Unordered Options Ordered Response 1. Client 1 hour post laparoscopic cholecystectomy for gallstones who reports right shoulder pain 2. Client 4 hours post tracheostomy who has a small amount of pink drainage on the tracheotomy dressing 3. Client 48 hours post abdominal hysterectomy who is ambulatory and reports aching in the right leg 4. Client 3 days post open gastric bypass who reports fever and foulsmelling discharge at the surgical site


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