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professionalism
Priority analysis
Question | |
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The RN is working in a busy Emergency department (ED). The ambulance brings in a 76-year-old patient who reports tightness in the chest. The patient’s pulse is 82. The cardiac monitor shows a regular rhythm, BP is 98/66, | -- |
respirations are 12, oxygenation saturation is 95% on room air, and pain is reported as a 2 on a scale of 1-10. Which prescribed action should the RN initiate first? | Insert large bore IV |
A 72-year-old male with a diagnosis of hyperglycemia is admitted in the late morning to the Medical-Surgical unit. The assigned nurse receives several admission orders from the health care provider. In which order would the nurse complete the tasks? | 1 Administer stat insulin 2 Order diabetic meal tray for lunch 3 Assist patient to ambulate 4 prepare discharge teaching |
The nurse manager is preparing shift reports for oncoming nurses. Which tasks should be considered high priority? | - Assessing a newly admitted patient with gastrointestinal bleeding -Restarting an infiltrated IV for a patient receiving a blood transfusion -Coaching a new RN who plans to insert a Foley catheter in a patient with urinary retention |
The nurse manager of a busy orthopedic floor arrives for work on Monday morning with multiple tasks waiting to be completed. Which task has the lowest priority? | Replying to new emails and routine requests for information |
According to Rosalinda Alfaro-Lefevre’s levels of priority, in which order should the bedside nurse attend to each new patient situation? | 1 Oxygen saturation dropping to 88% 2 Sudden inability to recognize family and caregivers 3 Pain at a 5 on a scale of 1-10 4 Discharge scheduled for today 5 Newly admitted and needing initial instruction on self-administration of insulin |
The registered nurse is working in the Emergency department (ED) triage when four victims from a multiple vehicle accident arrive. Arrange the patients in order of increasing priority, lowest priority being first and highest priority being last. | 1 a a 66 year only female with severe bleeding who is unresponsive with non palpable central pulses 2 a 15 year old male with a forehead contusion playing in the lobby with his younger sibling |
-- | 3 a 20 year old male who a compound femur fracture complaining of intense pain 4 a 78 year old male experiencing severe chest pain and shortness of breath |
The nurse working on a Neuroscience unit is assigned additional patients. Which newly assigned patient should the nurse assess first? | A patient who had a hemorrhagic stroke and reports a severe headache |