NUR 221 Exam 2: Prioritizing &
Managing Care Correct 100%
1. Identify pt correctly
2. Improve staff communication
3. Use meds safely (label)
4. Use alarms safely (respond)
5. Prevent infection (hand hygiene per CDC)
6. Identify pt safety risks (suicide)
7. Prevent mistakes in surgery - ANSWER what are the 7 2021 national patient safety
goals?
First level client problems - ANSWER threats to a pt's immediate survival or safety;
ABCDEs or 1st level of Maslow's
Second level client problems - ANSWER concerns such as mental status change, acute
pain, acute urinary elimination, untx medical problems req. immediate attention (diabetic
needing insulin), abnormal patho. lab results, risks of infection, risks of pt safety
disability (often head/neck injury) - ANSWER What does the D stand for in ABCDEs?
exposure to extreme cold/heat - ANSWER What does the E stand for in ABCDEs?
Third level client problems - ANSWER problems that involve monitoring for med side
effects, lack of pt knowledge, long-term probs w/ living activities
professional judgement and assessment - ANSWER when no life-threatening problems
exist, the nurse uses _______________ ______________ and _______________ of
the client to set priorities and determine plan
prioritization - ANSWER the act of deciding what should be done first and what activities
should follow sequentially; establishing an ordered list of ranked items based on
importance or urgency; method used to determine what actions need to be
accomplished ahead of others; represents the execution of ranked items
ABCDEs & Maslow's - ANSWER what are the top 2 methods of prioritization in nursing?
airway (patency) - ANSWER first order of priority in ABCDEs?
breathing (pattern, rate) - ANSWER second order of priority in ABCDEs?
circulation (pulse, BP, dysrhythmias) - ANSWER third order of priority in ABCDEs?
Managing Care Correct 100%
1. Identify pt correctly
2. Improve staff communication
3. Use meds safely (label)
4. Use alarms safely (respond)
5. Prevent infection (hand hygiene per CDC)
6. Identify pt safety risks (suicide)
7. Prevent mistakes in surgery - ANSWER what are the 7 2021 national patient safety
goals?
First level client problems - ANSWER threats to a pt's immediate survival or safety;
ABCDEs or 1st level of Maslow's
Second level client problems - ANSWER concerns such as mental status change, acute
pain, acute urinary elimination, untx medical problems req. immediate attention (diabetic
needing insulin), abnormal patho. lab results, risks of infection, risks of pt safety
disability (often head/neck injury) - ANSWER What does the D stand for in ABCDEs?
exposure to extreme cold/heat - ANSWER What does the E stand for in ABCDEs?
Third level client problems - ANSWER problems that involve monitoring for med side
effects, lack of pt knowledge, long-term probs w/ living activities
professional judgement and assessment - ANSWER when no life-threatening problems
exist, the nurse uses _______________ ______________ and _______________ of
the client to set priorities and determine plan
prioritization - ANSWER the act of deciding what should be done first and what activities
should follow sequentially; establishing an ordered list of ranked items based on
importance or urgency; method used to determine what actions need to be
accomplished ahead of others; represents the execution of ranked items
ABCDEs & Maslow's - ANSWER what are the top 2 methods of prioritization in nursing?
airway (patency) - ANSWER first order of priority in ABCDEs?
breathing (pattern, rate) - ANSWER second order of priority in ABCDEs?
circulation (pulse, BP, dysrhythmias) - ANSWER third order of priority in ABCDEs?
