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Discussion

Prioritizing

I am a first year RN student and was wondering if someone could help me with this scenario.

It's 7:30 am and you are the day shift nurse and received the following data from the night shift report:

  • Room 132: 66 y/o CHF client scheduled for an angiogram today at 10:00 am. Client requests information about the procedure before signing the consent.

  • Room 133: 42 y/o post-emergency colostomy from yesterday. Vitals stable. Client was unable to sleep during the night, feeling upset and emotional. Midnight nurse states that the client refused to discuss feelings.

  • Room 134: 67 y/o GI bleed admitted yesterday. At midnight, B/P 120/70, HR 80. At 6:00am 80/50, and HR 102. Physician notified and ordered a CBC for this morning.

  • Room 135: 58 y/o post-femoral popliteal bypass 2 days ago. Vitals stable since surgery. Client complains of incisional pain. Midnight nurse states the site is clean and dry with good bilateral pedal pulses.

Questions:

  • Prioritize these four clients based on Maslow's hierarchy of needs.

I would choose room 134, 135, 133 and then 132 is that correct?

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    I would choose room 134, 135, 133 and then 132 is that correct?

    That's what I would choose too. It might help you to verify your answer if you assign a "need" to each patient, according to Maslow.

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    • Author

    Thanks for your help, this is the next question:

    At 10:30 am you evaluate your clients and obtain the following findings:


      • 132: Returned from angiogram. The test found severe coronary artery disease and surgery is scheduled for 1:30 pm today.
      • 133: Receiving IV fluids. B/P has increased; HR and Resp returned to normal.
      • 134: 2 units of blood have been transfused. The client returned from laparoscopic surgery to repair a bleeding ulcer. B/P 122/76, HR 74, client denies any pain.
      • 135: Pulses in the affected leg went from 3+ at 7:00 am to barely audible with a Doppler. The leg is cool to the touch and mottled.

    1. How would you reprioritize your clients based on the new data and the ABCs?

    And I chose 135,134,133 and then 132. Is that right also?

    This is just to get us ready for an upcoming test, and I just want to make sure I am headed in the right direction.

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