Safe, Effective Care Environment
17. Which client should an RN direct an LPN/LVN to check on first?
. A client with rheumatoid arthritis who needs splints reapplied.
. A client with diabetes with a blood sugar of 75, who finished breakfast and needs a snack.
. A client with GI bleeding who was up to use the bedside commode.
. A client with COPD on O2 at 2 L who needs vital signs and pulse oximetry checked.
Test-Taking Tip
Consider which client is most unstable and the condition that could change suddenly.
Content Area: Management of Care, Delegation; Integrated Process: Nursing Process, Analysis; Cognitive Level: Analysis; Client Need/Subneed: Safe and Effective Care Environment/Management of Care/Establishing Priorities
Safe, Effective Care Environment
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Answer 1 is incorrect because the client has a chronic condition that is not life threatening. Answer 2 is incorrect because the blood sugar is not dangerously low. Answer 3 is correct because it is important to determine if the client is actively bleeding. Since this client is the most unstable, the RN needs to ask the LPN/LVN to check on this client first. Answer 4 is incorrect because the client has a chronic condition and any changes would develop gradually.