The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of a first level priority problem?

Individual with a small laceration on the left forearm.

Individual with hypoactive bowel sounds and last bowel movement 6 days ago

Newly diagnosed patient with diabetes who needs diabetic teaching

Patient with 5/10 postoperative pain

Answer and Explanation

The Correct Answer is B

A.   A small laceration is typically a second-level priority, as it requires wound care but is not lifethreatening.
B.   This suggests a risk for bowel obstruction or other serious gastrointestinal issues that require immediate attention, making it a first-level priority.
C.   While important, this is not an urgent, life-threatening situation and is not considered a first-level priority.
D.   This is a second-level priority, as it requires pain management but is not as urgent as more critical issues.

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Correct Answer is C

Explanation

A. A review of systems helps assess overall health and symptoms, but it may not always pinpoint the cause directly.
B. While this may be a part of the review of systems, the primary purpose is broader—identifying both current and past health problems.
C. The review of systems is designed to gather information on both current and past health problems, helping to form a comprehensive health history.
D. This is part of the process but is too narrow compared to identifying both current and past health concerns.

A. Hormonal changes causing vasodilation resulting in hypotension B. Atrophy of the muscles causing venous insufficiency C. Peripheral blood vessels become more rigid producing a rise in systolic blood pressure. D. Narrowing of the inferior vena cava causing, bilateral lower extremities varicosities

Correct Answer is C

Explanation

A. Hormonal changes can occur, but they typically do not cause significant vasodilation or hypotension in the elderly.
B. Atrophy of the muscles causing venous insufficiency. While venous insufficiency can occur in aging, muscle atrophy is not the primary factor in this issue.
C. Peripheral blood vessels become more rigid producing a rise in systolic blood pressure. This is a common and expected finding in the elderly due to arteriosclerosis, leading to increased systolic blood pressure.
D. The inferior vena cava does not typically narrow with age, and varicosities are more likely due to vein elasticity changes, not narrowing.

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The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of a first level priority problem?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is interviewing a client in order to obtain a comprehensive health history. The purpose of a review of systems in the health history is to

Correct Answer is C

Explanation

During a cardiovascular assessment of an 80-year-old adult, a nurse should consider which of the following as expected findings?

Correct Answer is C

Explanation

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