exam #1 --> case studies Correct Questions & Answers(GRADED A+)
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The nurse should trust the hunch; however, having another member ofthe team substantiate the hunch would be a collaborative approach and would provideadditional reinforcement for the hunch - ANSWERThe nurse has a "hunch" that the patient's elevated blood pressure is due to pain level; however,...
exam #1 --> case studies Correct Questions &
Answers(GRADED A+)
2
The nurse should trust the hunch; however, having another member ofthe team substantiate the
hunch would be a collaborative approach and would provideadditional reinforcement for the hunch -
ANSWERThe nurse has a "hunch" that the patient's elevated blood pressure is due to pain level;
however, the patient received blood pressure and pain medication 45 minutes ago. What should the
nurse consider in regard to this hunch?
1.Research supports that the pain and blood pressure medications will take 30 minutes to become
effective. The nurse should wait until the next prescribed time and reevaluate pain level.
2.The nurse should consider consulting with the pain management team to evaluate the
effectiveness of the pain medication regimen.
3.The nurse should disregard the hunch because hunches are not effective at incorporating evidence-
based practices.
4.The nurse should administer pain medication based on the hunch.
she would consider what priority they are: 1, 2, or 3 and go based on what level they are
First-level priority—immediate airwayissues—ABCs plus V
• Second-level priority—next in urgencyrequiring an intervention to preventfurther deteriorations
• Third-level priority—those issues thatmust be addressed but may be done solater, indicating that
they are not considered to be urgent but rather long-term problems - ANSWERA nurse working in the
emergency department triage wants to apply principles of priority setting regarding an organizational
framework for delivery of care.
, Based on your understanding of the principles of priority setting, what categories would be included
in the framework?
A -level 1
-to rule out a cardiac event
B - level 2
-as the nature of her complaint, frequentheadaches, should be assessed but it is not a
priorityconcern at this time; however, the prudent nurse muststill determine the etiology or risk
factors for "frequentheadaches."
C - level 2
-with the potential to emerge also as a level-1 priority
-Level 2 in that the patient should be evaluated for mental status changesand level 1 if there are
circulation/vascular problemsassociated with the injury.
D- level 2
-because the child is not exhibiting any significant distress at this time and is playing with a toy; the
foreign body (toy truck) must be removed before it causes any damage, so the child should be seen
promptly.• - ANSWERUsing a priority framework, how would the nurse categorize the patients who
arrived at the emergency department for treatment?
A. -A 48-year-old male presenting with chest pain
B. -A 19-year-old female who has frequent headaches with stable vital signs
C. -A 68-year-old male who had a ground-level fall (GLF)
D. A 5-year-old male who has a toy truck sticking out of his left ear and is playing with a toy.
The nurse would obtain assessment data relevant to the patient's vital signs, pulseoximetry, airway
status, EKG tracing, pain assessment scale, allergy status, last time thatthe patient had something to
eat, presence of associated symptoms such as nausea,vomiting, or headache. The nurse should
obtain a past medical/surgical history indicatingwhether the patient has any comorbidities or other
variables that may affect therapeutictreatment. The nurse should also obtain family medical as well
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