PN ATI Capstone Proctored Comprehensive Assessment A Related

Review PN ATI Capstone Proctored Comprehensive Assessment A related questions and content

During a change-of-shift assessment, a nurse is evaluating four clients. Which finding should the nurse report to the provider first?

  • A. Client with cystic fibrosis who has a thick productive cough and reports thirst
  • B. Client with gastroenteritis who is lethargic and confused
  • C. Client with diabetes mellitus who has a morning fasting glucose of 185 mg/dL
  • D. Client with sickle cell anemia who reports pain 15 minutes after receiving analgesic
Correct Answer: B

Rationale: The nurse should report the client with gastroenteritis who is lethargic and confused to the provider first. Lethargy and confusion in a client with gastroenteritis may indicate dehydration or electrolyte imbalance, both of which can be life-threatening if not addressed promptly. The other options indicate important assessments that require intervention but do not pose an immediate life-threatening risk compared to the client with signs of dehydration and electrolyte imbalance.