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The Nurse Performs Admission Assessments on 4 Clients

Question 58

Multiple Choice

The nurse performs admission assessments on 4 clients.  Which client assessment information is most concerning and needs priority care?


A) 17-year-old with suspected meningococcal meningitis who has a fever of 103 F (39.4 C) , headache with photophobia, and stiff neck
B) 36-year-old who is an IV drug user with cellulitis of the arm, a fever of 103.2 F (39.6 C) , and foul-smelling drainage from self-injection sites
C) 45-year-old with diabetes mellitus and osteomyelitis of the foot who has a fever of 100.9 F (38.3 C) and a serum glucose of 295 mg/dL (16.4 mmol/L)
D) 76-year-old with chronic bronchitis who has a fever of 101 F (38.3 C) and a productive cough of thick green mucus

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