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The nurse is providing care for a patient who is unconscious. What nursing intervention takes highest priority?

1 Answer

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Final answer:

The highest priority nursing intervention for an unconscious patient is maintaining a patent airway, which involves teamwork and checking critical concerns aloud. Rapid neurologic assessment in emergencies is vital, and care protocols, such as those for dialysis treatment, require careful monitoring and adherence to sterile procedures.

Step-by-step explanation:

When providing care for an unconscious patient, the nursing intervention that takes the highest priority is ensuring the patient has a patent airway. This is critical because an unconscious patient may not be able to maintain their own airway, leading to a risk of airway obstruction and respiratory distress. The nurse, along with the anesthesia professional, must review aloud the key concerns for the patient’s recovery and care, including airway management. Before induction of anesthesia and before skin incision, the team performs a time-out to confirm the patient’s identity, procedure, and surgical site, along with any other critical considerations specific to the patient’s condition.

In emergency care, a rapid assessment of neurological function is essential to determine the level of consciousness, potential for airway compromise, and other critical issues that require immediate attention. For example, if someone is drowning, the first priority is to remove them from the water, after which, if needed, CPR is administered on stable ground. Similarly, in the management of conditions requiring dialysis treatments, careful monitoring of vital signs and ensuring accurate procedures is crucial for patient safety.

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