ABC's First
A patient with asthma reports mild wheezing and has an O₂ sat of 94%.
Who is a higher priority: this patient or someone with chest pain?
What is the patient with chest pain
According to Maslow, what comes first: safety needs or belonging?
What is Safety needs
Which is unstable?
A. Post-op 2 days
B. Chest pain
What is B. Chest pain
What’s the first step when identifying fall risk?
What is Assess the patient
Who do you see first?
A. Nausea
B. Post-op day 1 with fever 100°F
C. New confusion
What is C. New Confusion
A client is cyanotic and gasping. What is the FIRST intervention?
What is apply oxygen
Which patient should the nurse see first?
A. Anxiety attack
B. Low blood pressure
C. Needs discharge teaching
What is B. Low blood pressure
Stable or unstable: A diabetic with BG 210?
What is Stable
A patient has a potassium of 6.2. What is the priority?
What is Notify the Physician
Who is priority?
A. COPD with O₂ 92%
B. PE suspected: sudden SOB
What is B. PE Suspected: Sudden SOB
Which patient is priority?
A. Pneumonia with RR 12
B. Post-op abdominal pain
C. COPD with O₂ sat 82%
What is C. COPD with O2 sat 82%
Which problem is highest priority?
A. Loneliness
B. Risk for dehydration
C. Need for spiritual counseling
What is B. Risk for dehydration
Unstable or stable: Hypoglycemia at BG 45?
What is Unstable
A confused patient is pulling off their oxygen. What should the nurse do first?
What is Assess the patient for confusion/safety
Who is priority?
A. Hypoglycemia BG 50
B. Migraine headache
What is A. Hypoglycemia BG 50
A patient is choking and cannot speak. What is the highest priority action?
What is perform the abdominal thrust (Heimlich)
A patient has new-onset confusion. What level of Maslow is affected?
What is Safety
Which patient is highest priority?
A. Stable fracture
B. New-onset slurred speech
What is New-onset slurred speech
Which is the greatest safety risk?
A. Bed in low position
B. Clutter on the floor
What is B. Clutter on the floor
Who do you see first?
A. Chest pain
B. Wound dehiscence
What is A. Chest Pain
A patient with a tracheostomy is gurgling and struggling to breathe.
What is suction the airway
Rank these based on Maslow (highest priority first):
Pain
Infection
Spiritual distress
What is Infection, Pain, Spiritual distress
Which patient is more unstable?
A. Fever 101°F
B. RR 34 and restlessness
What is RR 34 and restlessness
Which patient is at the highest risk for internal bleeding?
A. Patient on warfarin
B. Patient with ankle sprain
What is A. Patient on warfarin
Who do you see first? Second? Last?
A. CHF Exacerbation
B. DKA
C. Sepsis
What is CHF Exacerbation, Sepsis, DKA