ATI RN
ATI RN Leadership 2023 Exam 2 Questions
Extract:
Client with peripheral vascular disease and absent pedal pulse; Client with MRSA and temperature of 38°C; Client 12 hr post-laminectomy unable to void; Client newly diagnosed with pancreatic cancer scheduled for IV chemotherapy.
Question 1 of 5
A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of the following clients is the highest priority?
Correct Answer: A
Rationale: The correct answer is A because an absent pedal pulse in a client with peripheral vascular disease indicates impaired arterial blood flow, posing a risk for tissue ischemia and necrosis. This requires immediate intervention to prevent complications like gangrene or limb loss.
Choice B has an elevated temperature, which may indicate infection but is not immediately life-threatening.
Choice C, inability to void postoperatively, is concerning but can be managed with interventions such as bladder catheterization.
Choice D, a newly diagnosed client with scheduled chemotherapy, is important but not as urgent as the risk of tissue necrosis in peripheral vascular disease.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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