An emergency room nurse will give first priority to the patent with the most critical need, which is the patient who

A. Bleeding from a chin laceration: This is a significant concern, but it's generally not immediately life-threatening. The bleeding can be controlled, and it's not likely to lead to a rapid decline in the patient's condition.

B. Complain of severe chest pain: This is a critical symptom as it could indicate a heart attack or other serious cardiac issue. Chest pain could be a sign of a lack of blood flow to the heart, which can lead to severe complications if not addressed urgently.

C. Has a fever of 102 degrees: While a fever indicates an infection or inflammation in the body, a fever of 102 degrees Fahrenheit, by itself, is not an immediate life-threatening situation. It suggests an underlying issue that needs medical attention but might not be as urgent as severe chest pain.

D. Complains of a productive cough: While a productive cough (bringing up phlegm or mucus) could indicate a respiratory infection, it's generally not as urgent as severe chest pain. Respiratory issues can become serious, especially in vulnerable populations, but they often progress over a longer timeframe compared to the rapid onset of a heart attack, for example.

A. "Refuses to have blood drawn. Doctor notified."
This option documents the patient's refusal but lacks specific information about the patient's reason for refusal, which is important for the care team to understand the context.

B. "Doctor notified of failure to draw ordered blood work."
This option focuses more on the failure to draw blood than on the patient's specific refusal and reasoning. It lacks information about the patient's perspective, which can be crucial for understanding their decision-making process.

C. "Blood not drawn because tests are no longer desired by the patient."
This choice provides a clear reason for not drawing blood (the patient's refusal) and includes the patient's perspective on the tests being 'useless.' However, it does not mention the action taken, such as informing the doctor, which is important for continuity of care.

D. "Refuses to have blood drawn; says tests are 'useless.' Doctor notified."
This option combines both the patient's refusal and their reason ('useless' tests) for refusing. Additionally, it includes the action taken, which is informing the doctor. This choice offers a comprehensive and informative description of the situation.