priority-setting frameworks
nurse is performing an admission assessment on a client. using the safety and risk reduction priority setting framework, which of the following findings should the nurse identify as the priority?
client reports dizziness when standing
maslow's hierarchy bottom to top
physiological, safety, love/belonging, esteem, self-actualization
nurse is at a provider's office and reviewing the records of several clients. which of the following clients should the nurse recommend as the priority for treatment?
client who reports new chest pain
nurse has received change-of-shift report for a group of clients. which of the following clients should the nurse plan to see first?
client who is receiving a blood transfusion and reports urticaria
nurse is admitting a client who has hypertension. using the nursing process, which of the following actions should the nurse take first?
perform physical assessment
nurse is caring for a client who is experiencing unexpected manifestations with several body systems. which of the following priority setting frameworks should the nurse use to prioritize client assessment?
ABCDE
nurse is caring for a client who reports feeling inferior and states that they aren't good enough. the nurse should recognize that these feelings fall under which of the following categories of maslow's?
self-esteem
nurse is assisting with client triage at the scene of a mass casualty event. which of the following clients should the nurse recommend for transport first?
client who has an abdominal wound and is actively bleeding
nurse is caring for a client who reports new onset of abdominal pain. the nurse should assign the client's condition to which of the following categories when prioritizing care?
urgent
nurse is assessing a client using the ABCDE priority-setting approach. which of the following actions should the nurse take when completing the exposure component of this priority setting method?
observe the client's lower extremities for indications of deep vein thrombosis, measure the client's temperature, check client for bruising
nurse has received change-of-shift report on four clients. which of the following clients should the nurse see first?
client who has audible wheezing during respirations
nurse is caring for a client who is confused and trying to remove their peripheral IV. using the least restrictive/least invasive priority setting framework, which of the following actions should the nurse take first?
cover the IV site with an elastic bandage
nurse is providing education on priority setting frameworks to new nurses. which of the following statements should the nurse make regarding the safety and risk reduction priority setting framework?
this framework assigns the highest priority to the situation that poses a threat to the client's physical well-being
nurse is assessing a client using the ABCDE approach. the nurse has already assessed the client's airway and breathing status. which of the following assessments should the nurse perform next?
blood pressure
nurse is reviewing medical records of four clients. which of the following clients should the nurse identify as the priority for care?
client who has received digoxin and has a heart rate of 48/min