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The nurse assigned to 4 clients on a postoperative surgical unit at a rural hospital. When prioritizing the care, the nurse recognizes that the highest priority is focused on which client?

a. A client who has just returned from surgery and is now in recovery
b. A client who has stable vital signs and is preparing for discharge
c. A client in critical condition showing signs of complications
d. A client with an expected discharge within the next 24 hours

User Kryger
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1 Answer

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Final answer:

The highest priority among the clients is the one in critical condition showing signs of complications, as immediate intervention is necessary. Stable patients preparing for discharge or expected to be discharged within 24 hours are lower priorities. Nurses in ICU, CGU, Emergency, and Medical Surgical environments must employ critical thinking to manage care effectively.

Step-by-step explanation:

When prioritizing postoperative care, the nurse must identify the client who requires the most immediate and intensive care. Among the options given, the highest priority would be a client in critical condition showing signs of complications. This decision aligns with the principles of triage which dictate that the most life-threatening situations receive attention first. The nurse recognizes that a patient's critical condition necessitates immediate intervention to prevent further deterioration or possible life-threatening issues.

A client who has just returned from surgery and is now in recovery is also a priority but may not be critical if their condition is stable post-surgery. The client who has stable vital signs and is preparing for discharge is lower on the priority list as they are nearing the end of their care process and have a stable condition. Similarly, a client with an expected discharge within the next 24 hours is likely stable and requires less urgent care compared to the patient in critical condition.

Within the scope of the nurse's responsibilities, it includes conducting assessments, ensuring medication and treatment adherence, and engaging in critical thinking to manage care efficiently, focusing on patient safety and outcome. The scenario emphasizes the need for vigilance and prioritization skills in the nursing profession, especially within ICU, CGU, Emergency, and Medical Surgical environments where patient conditions can rapidly change and require immediate attention.

User Lisek
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