Nursing Prioritization Questions

Which of the following would most concern the Nurse in a client 8 hours following surgery:
safety
hemorrhage
infection
control of pain
A nurse is assigned to four patients, which of these patients should the Nurse see first?
A client in skeletal traction
Client preparing for discharge who is four days post-op
A client with a diagnosis of diverticulitis
A client with a tracheotomy with oxygen at 2L/min
The nurse is managing care of a client with the following vital signs: T-100.8 F, Pulse 118, Respiration 34, BP 148/24. The Nurse's initial action should be to:
Make an ECG strip
Re-assess the vital signs
Measure arterial blood gases ABGs
Call the MD
The Nurse is making rounds after receiving change of shift report. The Nurse should see which client first?
The client preparing for discharge post femoral popliteal bypass graft
The client admitted one hour ago complaining of shortness of breath
The client with oxygen saturation at 99%, who has a history of a cerebral aneurysm
The febrile client with a temperature of 101 F who is three days post op coronary artery bypass graft
The priority nursing intervention for a client post surgical removal of a large oral lesion would be to:
Assess the client for pain every two hours
Keep the incision area dry as possible
Maintain a patent airway
Continue oral care every hour as ordered
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