Following the shift handoff, a practical nurse (PN) must organize the morning workflow for a newly assigned group of clients. Prioritize the order in which the PN should evaluate the following clients, from most urgent (first) to least urgent (last).
- 1A client who just developed sudden shortness of breath and audible wheezing.
- 2A client requesting a prescribed oral analgesic for moderate post-operative pain.
- 3A client requiring a routine daily dressing change for a healing surgical wound.
- 4A client waiting for discharge paperwork to be completed for an afternoon transfer.
Cevap
The correct sequence prioritizes the acute physiological emergency (shortness of breath) first, followed by urgent symptom management (pain), routine clinical maintenance (dressing change), and finally administrative tasks (discharge).
Safe client care assignments require the nurse to prioritize based on the ABCs (Airway, Breathing, Circulation) and Maslow's Hierarchy of Needs. The client with shortness of breath has an acute breathing compromise and must be evaluated first. The client experiencing post-operative pain requires urgent symptom management, making them the second priority. The routine dressing change is a necessary clinical task but is not immediately urgent, placing it third. Finally, the client awaiting an afternoon discharge is stable and requires only administrative preparation, making them the lowest priority.
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Prioritization of Care Assignments