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The Nurse Has Just Received Report

Question 231

Multiple Choice

The nurse has just received report.  Which client should the nurse assess first?


A) Client admitted from coronary angiography in the past hour with back pain
B) Client with a deep vein thrombosis (DVT) on heparin drip at 1250 units/hr with an activated partial thromboplastin time (aPTT) of 60 seconds
C) Client with a head injury and a Glasgow Coma Scale of 14
D) Postoperative day 2 coronary artery bypass graft client with incisional pain rated 6 on pain scale

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