Which client situation should the nurse follow up on first?

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 this situation, the priority is to follow up on the client recovering from cardiac catheterization who developed atrial fibrillation. After a procedure like cardiac catheterization, the client is typically monitored for potential complications including arrhythmias. Atrial fibrillation can lead to significant issues such as compromised cardiac output, increased risk of thromboembolism, and even heart failure if not managed promptly.

The presence of atrial fibrillation, particularly in a post-procedural context, indicates a need for immediate assessment and potential intervention to stabilize the heart rhythm and ensure proper hemodynamic function. This condition, due to its potential for rapid deterioration, takes precedence over other situations.

Other scenarios, while important, may not require immediate intervention as a first priority. For example, the client with elevated troponin two days post-myocardial infarction may be stable enough for further monitoring rather than urgent intervention. The client with infective endocarditis wanting to leave against medical advice poses a difficult situation that needs to be addressed but may not necessitate immediate follow-up compared to the acute risk presented by atrial fibrillation. Likewise, the client experiencing leg pain due to arterial insufficiency may need assessment and management but typically would not present the same level of

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