After receiving change-of-shift report, which of the following four clients should the nurse assess first?
A)A 31-year-old with Cushing's syndrome and a blood glucose level of 13.7 mmol/L
B)A 22-year-old admitted with syndrome of inappropriate antidiuretic hormone (SIADH) who has a serum sodium level of 130 mmol/L
C)A 70-year-old who recently started taking levothyroxine and has an irregular pulse of 134
D)A 53-year-old who has Addison's disease and is due for a scheduled dose of hydrocortisone.

Question

Quizplus · Accepted Answer

Initiation of thyroid replacement in older adults may cause angina and cardiac dysrhythmias. The client's high pulse rate needs rapid investigation by the nurse to assess for and intervene with any cardiac problems. The other clients also require nursing assessment and/or actions but are not at risk for life-threatening complications.

After Receiving Change-Of-Shift Report, Which of the Following Four Clients