Prioritization question - need help with rationale

Nursing Students Student Assist

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Hi! I'm trying to find out which is the correct answer to the following prioritization question:

A 30-year-old client is brought to an emergency trauma center with a hand injury from a nail gun sustained while remodeling an old barn. there is a strong odor of alcohol and the client admits to having three beers during a 3-hour period. Which assessment findings are most important for the nurse to evaluate FIRST?

a. blood type

b. time of last voiding

c. current blood alcohol level

d. date of last tetorifice immunization

I would also appreciate your rationale. Thank you in advance!

Specializes in Public Health Nurse.

I agree that is D. Also, remember to not read into the question or to add more information to fit in the answer that you think it is. If there is only one thing that you need to do for this patient, what will it be? The most important thing will be to assess if the patient has had a tetorifice shot and when was it. The rest can wait.

Specializes in Forensic Psych.

I have friends who know all the information being taught but still struggle grade-wise because they say they over think questions. I finally get it after reading this thread!

If you sit and think about each answer long enough you can probably halfway rationalize why every single answer could be correct.

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