Question

A nurse is caring for a client in the emergency department (ED). The nurse should identify that the client is most likely experiencing ________ and the nurse should address the client's ___________.

Answer 1

A client in the emergency department with low blood pressure, confusion, and thirst is likely experiencing shock, and the nurse should focus on addressing their immediate life-support needs.

Step-by-step explanation:

A nurse in the emergency department might identify that a client with a blood pressure of 70/45, confusion, and complaints of thirst is most likely experiencing shock. This condition is often characterized by inadequate blood flow to the organs, which can result from various causes such as severe dehydration, bleeding, or heart problems. In this scenario, the nurse should address the client's immediate life-support needs by initiating fluids, monitoring vital signs, providing oxygen if needed, and preparing the client for further emergency interventions like medication administration or possible transfusions, depending on the underlying cause.