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NCLEX Question of the Day
Review the question, check the correct answer, and read the rationale before tomorrow's prompt arrives.
A nurse receives report on four clients. Which client should the nurse assess FIRST?
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Correct answer A client admitted 1 hour ago with suspected meningitis who is reporting a severe headache and photophobia.
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A client with pneumonia whose oxygen saturation is 93% on 2 L nasal cannula and is awaiting breakfast.
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A client with chronic kidney disease scheduled for hemodialysis in 2 hours who has 2+ pedal edema.
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A client post-appendectomy day 2 reporting incisional pain rated 6/10 and requesting medication.
Rationale
The client with suspected meningitis presents with symptoms (severe headache, photophobia) suggestive of a potentially life-threatening infection that can lead to rapid neurological deterioration and sepsis. Bacterial meningitis requires prompt assessment and initiation of antibiotic therapy. This client represents an acute, potentially unstable condition requiring immediate nursing assessment and intervention.
The client post-appendectomy reporting expected levels of pain needs attention, but this is not as immediately life-threatening as potential meningitis. The client with CKD has expected findings (pedal edema) related to their chronic condition and is stable awaiting scheduled dialysis. The client with pneumonia has an acceptable oxygen saturation on supplemental oxygen and is stable; their need is less urgent than the client with suspected meningitis.
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