med surg post assess with latest updated test.
med surg post assess with latest updated test. A nurse has just received report on four (4) clients. How can the nurse use the prioritization principle ""Acute over Chronic"" to help decide which client to assess first? Provide an example - correct answers.Regardless of the scenario, the nurse should always prioritize acute over chronic conditions. The nurse should use assessment techniques to be able to recognize manifestations that are expected with chronic conditions, versus maifestations that indicate an acute problem that should be addressed immedicately. For example, Patient one has Diabetes and insulin Due at 9:00 Patient 2 had a recent thyroidectomy and reports tingling around his mount Patient 3 has COPD and reports shortness of breath Patient 4 is post-surgery and is reporting pain at the incision site While we would narrow it down to patient 2 or 3, we know that COPD is a chronic condition that causes shortness of breath, and thus is not a priorty when circumoral paresthesia is being reported post-thyroidectomy. Thus, the nurse should assess Patient 2 first. A nurse is caring for a client who has experienced a mild traumatic brain injury. Describe the manifestations of increased intracranial pressure the nurse should be alert for. - correct answers.Some manifestations of increased ICP are: Severe headache Nausea and vomiting Altered Level of consciousness, restlessness, irritability Dilated, pinpoint, or non-reactive pupils Cranial Nerve dysfunction Alteration in breathing patterns (Cheyne-stokes resp, hyperventilation, apnea) Deterioration in motor function Abnormal posture: Decerebrate, Decorticate Cushing's Triad, manifested by: Severe HTN, A widened pulse pressure, and bradycardia and Seizures.
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