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The Nurse Receives the Following Report on Four Patients on the Medical-Surgical

Question 7

Multiple Choice

The nurse receives the following report on four patients on the medical-surgical unit.Which patient will the nurse attend to first?


A) Gait unsteady, uses walker, needs 2-person assist with ambulation
B) Abdominal wound is draining foul-smelling fluid, incision margins are red, heart rate 100 beats/min
C) Blood pressure 90/50 mm Hg, heart rate 40 beats/min, rates chest pain at 8 on a 0 to 10 pain scale
D) Verbalizes history of migraine headaches, eyes closed during assessment interview

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