Question

A nurse on a med-surge unit is caring for four clients. The nurse should recognize that which of the following clients is the priority?

A. a client who is scheduled for a tubal ligation in 2 hours and is crying
B. A client who has peripheral vascular disease and has an absent pulse in the right foot
C. A client who has type 1 diabetes and needs the first dressing change for an ulcer
D. A client who has MRSA and has an axillary temperature of 100.4F

Answer 1

The priority client is the one with peripheral vascular disease and an absent pulse in the right foot, as it indicates a potential medical emergency that could lead to severe tissue damage or limb loss.

Step-by-step explanation:

The nurse should recognize that the client with an absent pulse in the right foot associated with peripheral vascular disease is the priority. Loss of a pulse in an extremity indicates a potential lack of blood flow, which is a medical emergency that can lead to tissue damage, gangrene, and potential loss of the limb if left untreated. The other clients, while having needs that require attention, do not present with issues that are immediately life-threatening. The client scheduled for a tubal ligation who is crying may be experiencing anxiety or distress and requires emotional support. The client with type 1 diabetes needs a dressing change for an ulcer which is important but not an immediate priority. The client with MRSA and a low-grade fever needs monitoring but is not in immediate danger.