All of these events are occurring at the same time. Which one should the registered nurse deal with first?

Question

Quizplus · Accepted Answer

The nurse must deal with the visitor on the floor first, either by approaching/assessing the visitor or asking another nurse/charge nurse to deal with it urgently. The visitor could have fallen and hit the head. Responsiveness must be established and the need for any life-saving measures (eg, providing respirations or compression) must be ruled out. Visitor status does not matter, this individual is on hospital property and the nurse is obligated to respond. (Option A) The nurse can speak to the HCP after dealing with this emergency. (Option C) An analgesic can be administered after assessing the client and confirming that a medication has been ordered; however, a person needing potential life-saving measures is a priority. (Option D) Although this is an urgent need and the nurse should assess the site/pump (not delegate for someone else to just push the button to silence the alarm), potential life-saving measures take priority. The IV line will not occlude waiting a few minutes to be dealt with. Educational objective: The nurse should evaluate a person in the facility that may need life-saving measures first, regardless of whether the person is a client or a visitor (eg, vendor, employee).

All of These Events Are Occurring at the Same Time