please help with another question thanks!

Kns124 · Nov 13, 2005

I have a few questions thanks for your help!

Which assessment takes priority when engaging in an emergency assessment of a patient?

a. blood pressure

b. airway clearance

c. breathing pattern

d. circulatory system

The information that would be most important to document when takin ga blood pressure would be:

a. staff member who tookk pressure

b. patient's tolerance to having BP taken

c. position of the patient if the patient is not in a sitting position

d. difference between the palpated and auscultated systolic readings

Who would most likely have the highest temperature?

a. a newborn infant

b. a person with a blood infection

c. an adolescent who has been doing aerobic exercies

d. an older adult who just spent 10 minutes in a warm shower

liljsmom02 · Nov 13, 2005

always airway takes priority. i am not sure on the bp question but i would guess the position (orthostatic changes) and on the temp i would say the blood infection. aerobics and warm showers might raise a temp 1 degree and a newborn generally loses alot of heat due to tiny surface aea (thats why we put those little hats on them)

z's playa · Nov 13, 2005

i have another question thanks for all your help!!
Which assessment takes priority when engaging in an emergency assessment of a patient?
a. blood pressure
b. airway clearance
c. breathing pattern
d. circulatory status
The information that would be most important to document when taking a blood pressure would be:
a.staff member who took the blood pressure (not correct)
b. patient's tolerance to having the lood pressure thaken
c. position of the patient if the patient is not in a sitting position
d. difference between the palpatated and auscultated systolic readings

My guess IF I had to pick one (I thought ABC were ALL equal)...would be airway...can't breathe if the airway is obstructed..and eventually the BP would become a moot point... eh?

And the last one in the second question. But then again they all seem intercorolated to me.

Z

truern · Nov 13, 2005

i have another question thanks for all your help!!
Which assessment takes priority when engaging in an emergency assessment of a patient?
a. blood pressure
b. airway clearance
c. breathing pattern
d. circulatory status
The information that would be most important to document when taking a blood pressure would be:
a.staff member who took the blood pressure (not correct)
b. patient's tolerance to having the lood pressure thaken
c. position of the patient if the patient is not in a sitting position
d. difference between the palpatated and auscultated systolic readings

ABCs...so I would answer airway clearance

hmmmmm...I would think position of the patient...since you can take BP laying down, sitting, or standing.

Edited to add: yep, looked it up in Estes Health Assessment & Physical Exam 2nd edition pg 229..."the position of the patient during the BP measurement should be recorded. Use the following symbols to depict patient position...supine, sitting, standing" They also recommend documenting *where* the BP was taken: RA, RL, LA, LL

Turd.Ferguson · Nov 13, 2005

1st question: b. airway clearance

2nd question: c. patient's position (according to Harkreader & Hogan, "Fundamental of Nursing")

Goldenhare · Nov 13, 2005

My guess IF I had to pick one (I thought ABC were ALL equal)...would be airway...can't breathe if the airway is obstructed..and eventually the BP would become a moot point... eh?
And the last one in the second question. But then again they all seem intercorolated to me.
Z

A before B before C ALWAYS! That is whay is meant by prioritizing. (NCLEX is FULL of this type of thing!) So airway is the correct answer.

Blood pressure readings can vary greatly depending whether they are taken with the pt lying down, sitting up or standing. Many times, all 3 are taken. It is important to document in which position the patient was when the BP was taken. Helps to keep consistent records of care and to pinpoint developing problems. TF is right--gotta love that name!

z's playa · Nov 13, 2005

A before B before C ALWAYS! That is whay is meant by prioritizing. (NCLEX is FULL of this type of thing!) So airway is the correct answer.
Blood pressure readings can vary greatly depending whether they are taken with the pt lying down, sitting up or standing. Many times, all 3 are taken. It is important to document in which position the patient was when the BP was taken. Helps to keep consistent records of care and to pinpoint developing problems. TF is right--gotta love that name!

That's what I said...Airway.. :confused:

Unless you're referring to my comment on the ABC all being equal....I just meant I woul;dnt do just one....

Goldenhare · Nov 13, 2005

I'm agreeing with you!! I was just thinking that the reasoning should be clarified. Many of these questions seem to have nothing to do with 'real life'. In real life, you just might do air a,b,c,and d. The original poster seemed a bit confused as to how the correct answer is arrived at. I'm just pointing out that the answer is airway because of ABC's, not because of any other rationale. Please don't take it personally. :)

JR816, BSN, RN · Nov 13, 2005

I would of said airway for question one. I was confused about the second one..........I thought that you always documented positioning: therefore, incorrect answer.

After I read everyone's response, I see (again) where I am reading into the question. I guess that is why I'm still a first year student. Hopefully, I will think more criticallY by the end of next year.

z's playa · Nov 13, 2005

I'm agreeing with you!! I was just thinking that the reasoning should be clarified. Many of these questions seem to have nothing to do with 'real life'. In real life, you just might do air a,b,c,and d. The original poster seemed a bit confused as to how the correct answer is arrived at. I'm just pointing out that the answer is airway because of ABC's, not because of any other rationale. Please don't take it personally. :)

Okey dokey! I was also a little confused as to why this was even a question myself ..lol

Z