Assessment Questions And 100%
Accurate Answers.
A 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? -
Answer ABCDE
A 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? - Answer Cover the IV site with an elastic bandage
A nurse has received change-of-shift report on four clients. Which of the following clients should the
nurse plan to see first? - Answer A client who is receiving a blood transfusion and reports urticaria
A 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? (Select
all that apply) - Answer Observe the client's lower extremities for indications of deep vein thrombosis
Measure the client's temperature
Check the client for bruising
A nurse is caring for a client who reports feeling inferior and states that they are not good enough. The
nurse should recognize that these feelings fall under which of the following categories of Maslow's
Hierarchy of Needs? - Answer Self-esteem
A nurse is providing education on priority setting frameworks to a group of newly licensed nurses. Which
of the following statements should the nurse make regarding the safety and risk reduction priority
setting framework? - Answer "This framework assigns the highest priority to the situation that poses a
threat to the client's physical well-being"