Shayna Harris
Allergies: NKA
Diagnosis: scheduled repeat cesarean birth
DOB: 3/30/1995
MRN: 39345888
Room: 112
Weight: 76.4 kg (168 |b)
,You correctly selected 4 of the 5 responses.
Maslow's Hierarchy of Needs
Your response:
&) High priority
-
Your response is correct.
Rationale:
The nurse should identify that this client is a high priority when using Maslow’s Hierarchy of Needs framework to organize client care.
The client just underwent major abdominal surgery as well as being new mother. Close monitoring of basic needs for the client are
important during this immediate postpartum period.
Airway, Breathing, Circulation
Your response:
& High priority
—
Your response is correct.
Rationale:
The nurse should identify that this client is a high priority when using the Airway, Breathing, Circulation framework to organize client
care. The client is recovery from a surgical procedure. The airway must remain patent and positioned properly to prevent the risks of
aspiration. There can also be sedative effects from the anesthesia or pain medications given in the operating room or the recovery
room.
, Safety and Risk Reduction
Your response:
& High priority
Your response IS correct.
Rationale:
The nurse should identify that this client is a high priority when using the Safety and Risk Reduction framework to organize client
care. Since the client is in the immediate postoperative period she requires closer monitoring of vital signs, bleeding, and urine
output.
Urgent vs nonurgent
Your response:
X Low priority
-
Your response is incorrect.
Rationale:
The nurse should identify that this client is a high priority when using the Urgent versus Nonurgent framework to organize client care.
The clients immediate postoperative state requires timed treatments such as blood pressure and pulse checks, fundal and lochia
assessments as well as incision monitoring and urine output.
Chronic vs Acute / Stable vs Unstable
Your response:
© Low priority
Your response is correct.
Rationale:
The nurse should identify that this client is a low priority when using the Chronic vs Acute / Stable vs Unstable framework to organize
client care. The client is stable and experiencing the expected changes but is in the immediate postoperative period.
Allergies: NKA
Diagnosis: scheduled repeat cesarean birth
DOB: 3/30/1995
MRN: 39345888
Room: 112
Weight: 76.4 kg (168 |b)
,You correctly selected 4 of the 5 responses.
Maslow's Hierarchy of Needs
Your response:
&) High priority
-
Your response is correct.
Rationale:
The nurse should identify that this client is a high priority when using Maslow’s Hierarchy of Needs framework to organize client care.
The client just underwent major abdominal surgery as well as being new mother. Close monitoring of basic needs for the client are
important during this immediate postpartum period.
Airway, Breathing, Circulation
Your response:
& High priority
—
Your response is correct.
Rationale:
The nurse should identify that this client is a high priority when using the Airway, Breathing, Circulation framework to organize client
care. The client is recovery from a surgical procedure. The airway must remain patent and positioned properly to prevent the risks of
aspiration. There can also be sedative effects from the anesthesia or pain medications given in the operating room or the recovery
room.
, Safety and Risk Reduction
Your response:
& High priority
Your response IS correct.
Rationale:
The nurse should identify that this client is a high priority when using the Safety and Risk Reduction framework to organize client
care. Since the client is in the immediate postoperative period she requires closer monitoring of vital signs, bleeding, and urine
output.
Urgent vs nonurgent
Your response:
X Low priority
-
Your response is incorrect.
Rationale:
The nurse should identify that this client is a high priority when using the Urgent versus Nonurgent framework to organize client care.
The clients immediate postoperative state requires timed treatments such as blood pressure and pulse checks, fundal and lochia
assessments as well as incision monitoring and urine output.
Chronic vs Acute / Stable vs Unstable
Your response:
© Low priority
Your response is correct.
Rationale:
The nurse should identify that this client is a low priority when using the Chronic vs Acute / Stable vs Unstable framework to organize
client care. The client is stable and experiencing the expected changes but is in the immediate postoperative period.
