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A Nurse Is Making Initial Client Rounds at the Beginning

Question 33

Multiple Choice

A nurse is making initial client rounds at the beginning of the shift.  Which client should the nurse see first?


A) 36-year-old client with endocarditis who has a temperature of 100.6 F (38.1 C) , chills, malaise, and a heart murmur
B) 40-year-old client with pericardial effusion who has blood pressure of 84/62 mm Hg and jugular venous distension
C) 67-year-old client admitted for pneumonia with new-onset atrial fibrillation, who has blood pressure of 130/90 mm Hg and heart rate of 110/min
D) 70-year-old client with advanced heart failure who is receiving intravenous (IV) diuretics, has blood pressure of 80/60 mm Hg, and is watching TV

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