A Nurse Is Caring for Four Clients

question 5

Multiple Choice

A nurse is caring for four clients. Which client should the nurse assess first? The client with a/an

• A) eviscerated abdominal wound from surgery yesterday.
• B) infected lower leg ulcer and diabetes, who needs a blood sugar measurement.
• C) large open infected wound and temperature of 99.9° F.
• D) operative incision covered with a clean, dry dressing from surgery 8 hours ago.

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Definitions:

Myelin Sheath

The protective covering around nerve fibers in the central and peripheral nervous systems, enhancing signal transmission.

Central Nervous System

Comprises the brain and spinal cord, responsible for processing information and controlling the majority of functions of the body and mind.

Vertebral Posterior Arch

The portion of a vertebra that encapsulates and protects the spinal cord, forming the backside of the spinal canal.

Drowsiness

A feeling of being sleepy and lethargic, often leading to a decreased level of consciousness.