Question

What factor should guide the nurse in determining the priority action in a clinical situation?

A) Principle systemic before local (life before limb)
B) Apply clinical knowledge to procedural standards to determine the priority action
C) The nurse should consider the hierarchy of human needs when prioritizing interventions
D) Clients who have limited likelihood of survival even with intense intervention

Answer 1

The factor that should guide the nurse in determining the priority action in a clinical situation is the hierarchy of human needs.

Step-by-step explanation:

The factor that should guide the nurse in determining the priority action in a clinical situation is option C) The nurse should consider the hierarchy of human needs when prioritizing interventions.

When prioritizing interventions, nurses should consider the basic needs of the patient, such as airway, breathing, and circulation, as well as safety and pain management. This approach ensures that the most urgent and critical needs of the patient are addressed first.

For example, if a patient is experiencing severe difficulty breathing, the nurse would prioritize actions that support the patient's breathing, such as administering oxygen and positioning the patient upright, before addressing other non-essential needs.