Which client situation should a nurse prioritize first in follow-up care?

Prepare for the NCLEX Archer Prioritization Test. Engage with flashcards and multiple choice questions, each with detailed hints and explanations. Elevate your readiness for the exam!

In prioritizing client situations for follow-up care, assessing the client's immediate health concerns is crucial. In this case, the client reporting increased pain with a cough related to appendicitis indicates a potential risk for complications, such as perforation or infection. The presence of increased pain can suggest that the condition is worsening and may require urgent evaluation and intervention.

Appendicitis, if left untreated, can lead to serious complications, including peritonitis or sepsis. Pain that is increasing, particularly in relation to a cough, could indicate increased intrabdominal pressure or other complications. Therefore, addressing this client's situation first ensures that any potential deterioration in their condition is managed promptly, which is vital in nursing care.

The other situations, while important, involve different levels of urgency. For instance, a stage III pressure ulcer signifies a significant wound care need, but it does not present an immediate threat to life. Similarly, a reddened stoma post-ileostomy may warrant follow-up but does not require immediate action like suspected appendicitis. Lastly, a client with diabetes refusing breakfast and displaying normal glucose levels may need support, but this situation is usually less urgent compared to the potential risk of complications from appendicitis.

In summary, the focus

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy