A nurse on a medical unit has just received change-of-shift report. Which of the following clients should the nurse assess first?
a. A 68-year-old client who had a myocardial infarction 2 days ago and reports chest pain as a 4 on a scale of 0 to 10
b. A 48-year-old client who has AIDS, pneumocystis pneumonia, and a temperature of 38.3° C (101° F)
c. A 60-year-old client who has COPD, is receiving 2 L/min O2 via a nasal cannula, and has an oxygen saturation of 89%
d. A 26-year-old female client who has pelvic inflammatory disease and is unable to void.
Option D: we have to attend the PID patient first, who's unable to void urine.
UTI (urinary tract infection)
Spinal cord problems
Bladder stone & etc..
It can be an emergency situation which needs immediate medical attention, damage to bladder can happen or if prolonged situation can lead to kidney failure.
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