| Question 1 of 76The nurse is assigned to care for four clients. In planning client rounds, which client should thenurse assessfirst?1.A postoperative client preparing for discharge with a new medication2.A client requiring daily dressing changes of a recent surgical incision3.A client scheduled for a chest x-ray after insertion of a nasogastric tube4.A client with asthma who requested a breathing treatment during theprevious shiftCorrect Answer: 4Rationale:Airway is always the highest priority, and the nurse would attend to the client with asthma whorequested a breathing treatment during the previous shift. This could indicate that the clientwas experiencing difficulty breathing. The clients described in options 1, 2, and 3 have needsthat would be identified as intermediate priorities.
Question 1 of 76The nurse is assigned to care for four clients. In planning client rounds, which client should thenurse assessfirst?1.A postoperative client preparing for discharge with a new medication2.A client requiring daily dressing changes of a recent surgical incision3.A client scheduled for a chest x-ray after insertion of a nasogastric tube4.A client with asthma who requested a breathing treatment during theprevious shiftCorrect Answer: 4Rationale:Airway is always the highest priority, and the nurse would attend to the client with asthma whorequested a breathing treatment during the previous shift. This could indicate that the clientwas experiencing difficulty breathing. The clients described in options 1, 2, and 3 have needsthat would be identified as intermediate priorities. Question 2 of 76The nurse employed in an emergency department is assigned to triage clients coming to theemergency department for treatment on the evening shift. The nurse should assignprioritytowhich client? Get answer to your question and much more to their need for care and includes establishing priorities of care. The type of illness or injury,the severity of the problem, and the resources available govern the process. Clients withtrauma, chest pain, severe respiratory distress or cardiac arrest, limb amputation, and acuteneurological deficits, or who have sustained chemical splashes to the eyes, are classified asemergent and are the number-1 priority. Clients with conditions such as a simple fracture,asthma without respiratory distress, fever, hypertension, abdominal pain, or a renal stone haveurgent needs and are classified as a number-2 priority. Clients with conditions such as a minorlaceration, sprain, or cold symptoms are classified as nonurgent and are a number-3 priority.Question 3 of 76A nursing graduate is attending an agency orientation regarding the nursing model of practiceimplemented in the health care facility. The nurse is told that the nursing model is a teamnursing approach. The nurse determines that which scenario is characteristic of the team-basedmodel of nursing practice? Get answer to your question and much more Upload your study docs or become a Course Hero member to access this document Upload your study docs or become a Course Hero member to access this document End of preview. Want to read all 46 pages? Upload your study docs or become a Course Hero member to access this document Red-tagged clients have major injuries, black-tagged clients are expected and allowed to die, and yellow-tagged clients have major injuries. The nurse should first assess the client showing symptoms of a deep venous thrombosis (DVT) (eg, unilateral edema , warmth, redness , tenderness on palpation). A nurse is triaging clients in the emergency department (ED). Which client should the nurse prioritize to receive care first? A client experiencing chest pain and diaphoresis would be classified as emergent and would be triaged immediately to a treatment room in the ED. The other clients are more stable.
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The emergency department nurse is assigned to triage. which client should the nurse assess first
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