Which assessment does the nurse perform first in the unresponsive patient?

Correct

  • Heart rate
  • Oxygen saturation
  • Respiratory rate
  • Blood glucose level

Rationale

The nurse assesses the unresponsive patient’s heart rate first to determine if cardiopulmonary resuscitation (CPR) is warranted. If the patient’s heart is not beating, the patient’s oxygen saturation, respiratory rate, and blood glucose level are of little significance.

  • Category: Management of Care
  • Difficulty: 3
  • Tags: Cardiovascular Delegation, Prioritization and Leadership

Question 58 of 75

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