PN Adult Medical Surgical Practice Exam

Which client should the nurse prioritize seeing first after a change-of-shift report?

1. A client who had a right lower lobectomy 4 days ago

2. A client who has pneumonia with an elevated temperature

3. A client who had a colectomy and has an NG tube

4. A client who is dehydrated and has mental confusion

The correct answer is: A client who is dehydrated and has mental confusion

Prioritizing client care effectively involves assessing which individual presents the most urgent need for intervention. In this scenario, focusing on the client who is dehydrated and exhibiting mental confusion is crucial because dehydration can lead to serious complications, including electrolyte imbalances, decreased kidney function, and altered mental status. Mental confusion in the context of dehydration signals a significant concern, as it can indicate impaired cognitive function due to insufficient hydration. This condition requires prompt evaluation and intervention to restore hydration and prevent further neurological decline. Timely intervention is key; addressing dehydration through fluid replacement can quickly improve the client's cognitive function and overall stability. This highlights the critical nature of the symptoms presented, as both dehydration and mental confusion can escalate rapidly if not treated promptly. Thus, the nurse's priority should be to see this client first to assess the extent of hydration needs and to initiate appropriate therapy.