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Which Client Should the Nurse Assess first After Receiving the Hand-Off

Question 138

Multiple Choice

Which client should the nurse assess first after receiving the hand-off morning report?


A) Client 1 day postoperative exploratory abdominal laparotomy who has a nasogastric tube and absent bowel sounds in 4 quadrants
B) Client with a peripherally inserted central catheter who has a 5-cm (2-in) increase in external catheter length since yesterday
C) Client with chronic diarrhea from malabsorption syndrome who is receiving 10% dextrose in water via a peripheral IV line
D) Client with type 2 diabetes mellitus who is scheduled for discharge and has a hemoglobin A1C level of 9%

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