D - 4, 5, 5 Show
Rationale Which nursing action has the highest priority when the nurse is providing care to a trauma client whose primary survey indicates a Glasgow Coma Scale GCS score of 7?Which is the priority nursing action when providing care to a trauma client whose primary survey indicates a Glasgow Coma Scale of 7? If the Glasgow Coma Scale (GCS) score is 8 or less, the priority action by the nurse is to prepare for endotracheal intubation because the client is at risk for airway compromise.
In what priority order should the actions of care be implemented for clients in an emergency?In what priority order should the actions of care be implemented for clients in an emergency? The client care begins firstly by contact with clients and secondly, identification of clients' requirements for immediate treatment followed by the determination of appropriate interventions and the initiation of treatment.
Which are the highest priorities when conducting a primary client survey during the emergency assessment select all that apply?Airway and stabilization of the cervical spine are the top priorities when conducting a primary patient survey during the emergency assessment.
Which health concern has the highest priority for the nurse to monitor for after removing clothing from a client with burn trauma?Respiratory and fluid status remains highest priority. Assess peripheral pulses frequently for first few days after the burn for restricted blood flow. Closely observe hourly fluid intake and urinary output, as well as blood pressure and cardiac rhythm; changes should be reported to the burn surgeon promptly.
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Which action would the nurse perform as the highest priority for a client with trauma in the emergency unit?
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