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Prioritization

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L
Laura Russell

Triage clients by urgency in ER; respond to questions with honesty; address post-op pain and eating issues; prioritize assessments based on severity, ensuring comfort in congestive heart failure.

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Which client would the nurse assess first?

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A client with congestive heart failure (CHF) is having difficulty breathing. Before leaving the room, the nurse ensures the client has an overbed table to lean on when awake if needed to ease breathing. Which technique did the nurse use to make this decision?

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The home health nurse is visiting a client who is 2 weeks postoperative from a coronary artery bypass surgery. The client has lost 10 pounds, is continuing to experience pain, and is not eating. Which action should the nurse take?

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A client asks the student nurse to explain the pathophysiology of diabetes. The student nurse does not know the answer to this question. In which way should the student respond?

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You are a triage nurse in the Emergency Room place the client's in order who you would triage first. 

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