EAQ Prioritization (Week 3)
A 15-year-old with cystic fibrosis (CF) is admitted with a respiration infection. The nurse
determines that the adolescent is cyanotic, has a barrel-formed chest, and is inside the tenth
percentile for both height and weight. Which is the concern nursing intervention?
1
Increasing bodily sports
2
Performing postural drainage
3
Maintaining dietary restrictions
4
Administering prescribed pancreatic enzymes - ANS-2
Performing postural drainage
A client arrives in the emergency department with a couple of crushing wounds of the chest,
stomach, and legs. What are the priority nursing assessments?
1
Level of attention and scholar size
2
Characteristics of ache and blood stress
3
Quality of respirations and presence of pulses
four
Observation of stomach contusions and different wounds - ANS-three
Quality of respirations and presence of pulses
A client is admitted to the emergency department with a stab wound of the chest. Which is a
concern nursing assessment?
1
Level of ache
2
Quality and depth of respirations
three
Amount of serosanguinous drainage
4
Blood pressure and pupillary reaction - ANS-2
Quality and depth of respirations
A patron is recognized with acute gastritis secondary to alcoholism and cirrhosis. The patron
reviews common nausea, ache that will increase after meals, and black, tarry stools. The
, customer recently joined Alcoholics Anonymous. The nurse would supply priority to which
customer records item?
1
Black, tarry stools
2
Frequent nausea
three
Joining Alcoholics Anonymous
four
Pain that will increase after meals - ANS-1
Black, tarry stools
A purchaser receiving chemotherapy develops a temperature of 102.2°F (39°C). The
temperature 6 hours in the past become 99.2°F (37.3°C). Which nursing intervention is the
concern in this situation?
1 Assess the amount and color of urine; attain a specimen for a urinalysis and lifestyle.
2 Administer the prescribed antipyretic and notify the primary fitness care issuer of this
transformation.
3 Note the consistency of respiration secretions and obtain a specimen for tradition and
sensitivity.
4 Obtain the respirations, pulse, and blood stress while rechecking the temperature in 1 hour. -
ANS-2 Administer the prescribed antipyretic and notify the primary fitness care company of this
variation.
After a client with a couple of fractures of the left femur is admitted to the medical institution for
surgical treatment, the patron reviews a unexpected onset of cyanosis, tachycardia, dyspnea,
restlessness, and petechiae on the chest. Which is the concern nursing action?
1
Obtain critical signs.
2
Administer oxygen.
Three
Notify the health care issuer.
4
Auscultate the consumer's lung sounds. - ANS-2
Administer oxygen.
Based on the information within the chart of this patron who got here to the emergency branch
reporting purple-tinged urine, which nursing movement is a concern?
1
Monitor the consumption and output.
A 15-year-old with cystic fibrosis (CF) is admitted with a respiration infection. The nurse
determines that the adolescent is cyanotic, has a barrel-formed chest, and is inside the tenth
percentile for both height and weight. Which is the concern nursing intervention?
1
Increasing bodily sports
2
Performing postural drainage
3
Maintaining dietary restrictions
4
Administering prescribed pancreatic enzymes - ANS-2
Performing postural drainage
A client arrives in the emergency department with a couple of crushing wounds of the chest,
stomach, and legs. What are the priority nursing assessments?
1
Level of attention and scholar size
2
Characteristics of ache and blood stress
3
Quality of respirations and presence of pulses
four
Observation of stomach contusions and different wounds - ANS-three
Quality of respirations and presence of pulses
A client is admitted to the emergency department with a stab wound of the chest. Which is a
concern nursing assessment?
1
Level of ache
2
Quality and depth of respirations
three
Amount of serosanguinous drainage
4
Blood pressure and pupillary reaction - ANS-2
Quality and depth of respirations
A patron is recognized with acute gastritis secondary to alcoholism and cirrhosis. The patron
reviews common nausea, ache that will increase after meals, and black, tarry stools. The
, customer recently joined Alcoholics Anonymous. The nurse would supply priority to which
customer records item?
1
Black, tarry stools
2
Frequent nausea
three
Joining Alcoholics Anonymous
four
Pain that will increase after meals - ANS-1
Black, tarry stools
A purchaser receiving chemotherapy develops a temperature of 102.2°F (39°C). The
temperature 6 hours in the past become 99.2°F (37.3°C). Which nursing intervention is the
concern in this situation?
1 Assess the amount and color of urine; attain a specimen for a urinalysis and lifestyle.
2 Administer the prescribed antipyretic and notify the primary fitness care issuer of this
transformation.
3 Note the consistency of respiration secretions and obtain a specimen for tradition and
sensitivity.
4 Obtain the respirations, pulse, and blood stress while rechecking the temperature in 1 hour. -
ANS-2 Administer the prescribed antipyretic and notify the primary fitness care company of this
variation.
After a client with a couple of fractures of the left femur is admitted to the medical institution for
surgical treatment, the patron reviews a unexpected onset of cyanosis, tachycardia, dyspnea,
restlessness, and petechiae on the chest. Which is the concern nursing action?
1
Obtain critical signs.
2
Administer oxygen.
Three
Notify the health care issuer.
4
Auscultate the consumer's lung sounds. - ANS-2
Administer oxygen.
Based on the information within the chart of this patron who got here to the emergency branch
reporting purple-tinged urine, which nursing movement is a concern?
1
Monitor the consumption and output.
