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