The nurse has received report on four patients at 0700. Which patient should the nurse assess first?

The 58-year-old ambulatory patient who called out to report new-onset severe dizziness and lightheadedness when she got out of bed. The patient with lightheadedness upon getting out of bed is exhibiting signs of significant hypotension that is a circulation issue, which may indicate impending decompensation. Patients should be prioritized with the ABC’s - Airway, Breathing, Circulation. The nurse would call on Unlicensed Assistive Personnel (UAP) to assist the patient to the commode or attend to them after the patient with hypotension is assessed. The patient with COPD is expected to have pursed-lip breathing and coughing. The patient who requires education prior to surgery can wait until the more pressing matters are resolved.

The nurse has received report on four patients at 0700. Which pat...

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Management of Care
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Category: Management of Care
Difficulty: 5

Topics: Cardiovascular Delegation, Prioritization and Leadership

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