NCLEX practice QOD 5/10

[Pocamom]

Here is another one to try! :)

A 21-year-old male client is transported by ambulance to the emergency department after a serious automobile accident. He complains of severe pain in his right chest where he struck the steering wheel. What is the primary client goal at this time?

1. Reduce the client's anxiety.

2. Maintain adequate oxygenation.

3. Decrease chest pain.

4. Maintain adequate circulating volume.

[CrystalClear75, BSN, RN]

Here is another one to try! :)

A 21-year-old male client is transported by ambulance to the emergency department after a serious automobile accident. He complains of severe pain in his right chest where he struck the steering wheel. What is the primary client goal at this time?

1. Reduce the client's anxiety.

2. Maintain adequate oxygenation.

3. Decrease chest pain.

4. Maintain adequate circulating volume.

Would it be 2? I just got finished with nur 101 so I'm still a little sqeaky. It's probably 3 but I think it's 2.

[Bekahlynn]

I am going to go with 2. Pain is pyschosocial, and I am remembering my ABCs. Just finished the mandatory Kaplan NCLEX review that our school requires. Still very nervous, though.

[lady_shark44]

Here is another one to try! :)

A 21-year-old male client is transported by ambulance to the emergency department after a serious automobile accident. He complains of severe pain in his right chest where he struck the steering wheel. What is the primary client goal at this time?

1. Reduce the client's anxiety.

2. Maintain adequate oxygenation.

3. Decrease chest pain.

4. Maintain adequate circulating volume.

I'd have to say # 2 using the ABC's as my guide

[twinmommy+2, ADN, BSN, MSN]

#2

Breathing and oxygenation always come first.

[abmsam]

Definitely #2. Pain never killed anyone!

[grinnurse, RN]

#2-Remember Maslow-ABC's If the patient isn't breathing, nothing else matters!!

[HappyNurse2005, RN]

#2. Airway is it !

[mitchsmom]

#2

[Altra, BSN, RN]

#2

[Pocamom]

You guys are good!!

2. Blunt chest trauman may lead to respiratory failure, and maintenance of adequate oxygenation is the priority for the client. Decreasing the client's anxiety is realted to maintaining effective respirations and oxygenation. Although pain is distressing to the client and can increase anxiety and decrease respiratory effectiveness, pain control is secondary to maintaining oxygenation. Maintaining adequate circulatory volume is also secondary to maintaining adequate oxygenation

:)