Question

A nurse in a medical-surgical unit is caring for six clients. Complete the following sentence by using the lists of options.

The nurse should prioritize interventions for clients based on their conditions. The highest priority should be given to:

A) Client 1: Diagnosed with rheumatoid arthritis, C-reactive protein 3.2 mg/dL (less than 1.0 mg/dL).

B) Client 2: History of hyperlipidemia, Cholesterol 250 mg/dL (less than 200 mg/dL).

C) Client 3: 1 day postoperative, pain level 8/10, Oxygen saturation 88% (95% to 100%).

D) Client 4: Diagnosed with heart failure, Potassium 3.2 mEq/L (3.5 to 5.0 mEq/L).

E) Client 5: Stage 2 pressure injury on the left heel, Prealbumin 14 mg/dL (15 to 36 mg/dL).

F) Client 6: Diagnosed with diabetes mellitus, Glycosylated hemoglobin 8% (less than 7%.

Answer 1

The nurse should prioritize Client 3 with an oxygen saturation of 88%, indicating potential life-threatening respiratory distress.

Step-by-step explanation:

In a medical-surgical unit, the nurse should prioritize interventions for clients based on their conditions. The highest priority should be given to Client 3: 1 day postoperative, pain level 8/10, Oxygen saturation 88% (95% to 100%). This client's oxygen level is below normal, indicating potential respiratory distress which can be life-threatening and should be addressed immediately. Interventions may include administering oxygen and further assessment of respiratory status. Other clients also require attention but are less urgent compared to someone with compromised airway or breathing.