ATI NCLEX-PN Practice Questions Practice Question

The home health nurse must see all of the following clients. Which client should the nurse assess first?

A. The client who is postoperative from an open cholecystectomy who has green drainage coming from the T-tube. B. The client diagnosed with congestive heart failure who complains of shortness of breath while fixing meals. C. The client diagnosed with AIDS dementia whose family called and reported that the client is vomiting 'coffee grounds stuff.' D. The client diagnosed with end-stage liver failure who has gained three (3) pounds and is not able to wear house shoes.

Correct Answer: C

Rationale: Coffee-ground emesis suggests GI bleeding, a life-threatening emergency, requiring immediate assessment.

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ATI NCLEX-PN Practice Questions Practice Question

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