Prioritizing Care
The nurse is preparing to provide care to a group of clients. On which specific area(s) should the nurse focus in order to prioritize the clients' care needs? Select all that apply.
Asking if any clients have complex issues Identifying clients with specific medication times Noting which clients have particular safety needs
The nurse is preparing to triage victims of a train derailment who are being transported to the Emergency Department. Which victim(s) would need immediate care? Select all that apply.
Bleeding from fractured limb with a blood pressure of 78/40 mmHg Respiratory rate of 8 and irregular
The nurse manager is concerned that a staff nurse is having difficulty prioritizing client care needs. What did the manager observe the nurse perform that caused these concerns? Select all that apply.
Not completing an assessment Relying upon another nurse's assessment Asking unlicensed assistive personnel to perform complicated care Doing easiest tasks first
The nurse is prioritizing care needed for a group of clients according to urgency. Which care should the nurse identify as being medium priority? Select all that apply.
Performing passive range of motion every 4 hours Removing splints and providing complete skin care every 2 hours
The nurse is prioritizing care for a client based upon nursing diagnoses. If following Maslow's hierarchy of needs, list the order in which the nurse should provide care to the client.
1 Alteration in Perfusion 2 Diarrhea 3 Self-Care Deficit 4 Anxiety 5 Fatigue 6 Deficient Knowledge
The nurse is prioritizing care for a client with several problems. List the order in which the nurse should address the client's needs.
1 Audible wheezes 2 Dyspnea 3 Bleeding through nasogastric tube 4 Requesting medication for arthritis pain 5 Asking questions about teaching provided the other day 6 Not understanding how to complete the menu
The nurse is prioritizing care activities that are to be completed for a group of clients. From highest to lowest priority, list the order in which the nurse should complete the listed activities.
1 Remove an intravenous access device infusing chemotherapy. 2 Measure blood pressure before administering antihypertensive medication. 3 Change a dressing on an arm wound. 4 Ambulate to the bathroom using a walker. 5 Request dietary consult for gluten-free diet. 6 Call a family member to bring in shoes.
After receiving the morning report, the nurse prioritizes care needed by several clients. What factors should the nurse keep in mind when creating this priority list? Select all that apply.
Time available Safety Client condition Client preferences