Prioritization

Question 1

Priority teaching to report s/p cataract removal

Answer 1

1. Visual changes should be reported immediately.
   Teaching - To avoid activities that may increase intraocular
   pressure (IOP).

Question 2

Prioritize: a chest tube tip over and a tracheal suctioning

Answer 2

Tracheal suctioning

Question 3

Priority in Guillaine-Barre Syndrome (GBS)

Answer 3

Airway (respiratory failure) due to ascending paralysis

Question 4

Priority action when preeclamptic client progresses to eclampsia

Answer 4

Clean and maintain an open airway

Question 5

Highest priority when planning care of a client with anorexia nervosa

Answer 5

Maintain the client’s fluid and electrolyte.

Question 6

Priority for a patient found unconscious lying across a power line.

Answer 6

Using a wooden pole, remove the patient fro the power line.

Question 7

Priority in Tetralogy of Fallot (TOF)

Answer 7

An oxygen set up

Question 8

A priority assessment for a child who will undergo cardiac catheterization

Answer 8

Pedal pulses to serve as a baseline

Question 9

Priority to apply in s/p radical neck surgery

Answer 9

Apply pressure and elevate HOB to semi-fowler pos.

Question 10

Priority to immediately report when client-taking oral contraceptives for birth control.

Answer 10

Calf pain with dorsiflexion of the foot.

Question 11

A client developed sudden shortness of breath probably
secondary to pulmonary embolism.
What is your priority action? Administration of oxygen or
position client to high-fowler’s position.

Answer 11

High-fowler’s position and apply oxygen.