MEG2131990

Hey fellow students! I have a SIM lab tomorrow that I am so nervous for and don't feel prepared. Basically, we are on our own as the nurse with three patients. We have to prioritize who to see first. I just wanted to get your guys' input on who you think the priority patient is as well as your priority assessments and interventions. Thanks in advance!! 1: admitted for abdominal pain, nausea, and vomiting. 69 yo male. BP 101/50. HR 111. RR 20. 02 91% RA. T 97.8. PMH osteoarthritis, alcohol use (sober 5 years), and former smoker 2: admitted for chest pain and tachycardia. 69 yo female. BP 171/91. HR 101. RR 24. 02 96% RA. T 98.8. PMH chronic heart failure and heart attack 6 years ago.C/O SOB, chest discomfort, and feels like heart is racing. 3: admitted for difficulty breathing, asthma exacerbation. Dx with asthma, PNA. C/o respiratory distress r/t acute asthma exacerbation. 20 yo female diagnosed 1 year ago with adult onset asthma. stopped taking maintenance meds due to lack of health insurance/ money. Very anxious and difficulty breathing. wheezes throughout with crackles in the bases. currently on 4L about 90%.10/10 generalized pain. BP 148/89. HR 98. RR 20. 02 93%. T 100