Four clients come to the emergency department and are assessed by the triage nurse. Which client should be prioritized for more definitive care?

Question

Quizplus · Accepted Answer

A subarachnoid intercerebral bleed is an emergent, serious presentation often described as the "worst headache of my life." The onset is usually abrupt due to rupture of the vessel. Subarachnoid hemorrhage has a high mortality from recurrent bleeding and is the highest priority presentation. (Option A) Gout is hyperuricemia. If not properly treated, urate crystal deposits (tophi) develop on the joints. Although gout can cause severe pain, it is not the highest priority. (Option B) A headache in a client with a known history of migraines is not an urgent concern if it is the same as or similar to previous headaches. These clients usually have accompanying neurologic dysfunction such as nausea/vomiting or sensitivity to light or sound. (Option C) Severe epigastric pain radiating to the back after an alcohol binge is most likely due to acute pancreatitis. It is a serious condition but usually not immediately life-threatening. Educational objective: The "worst headache of my life" are classic descriptions by a client with a subarachnoid hemorrhage and require emergent evaluation.

Four Clients Come to the Emergency Department and Are Assessed