Question

A nurse enters an adult client's room and says, "Good morning!" while doing initial shift rounds after receiving report. The client does not respond. Put the nurse's actions in order of priority.

a-Call for someone to announce a code blue.
b-Check for a carotid pulse.
c-Gently shake the client's shoulder and ask, "Are you okay?"
d-Begin chest compressions.

Answer 1

The nurse's actions should be prioritized by checking for a carotid pulse, gently shaking the client and asking if they are okay, calling for a code blue, and then beginning chest compressions.

Step-by-step explanation:

When a nurse enters an adult client's room and the client does not respond, the nurse's actions should be prioritized in the following order:

b-Check for a carotid pulse.

c-Gently shake the client's shoulder and ask, 'Are you okay?'

a-Call for someone to announce a code blue.

d-Begin chest compressions.

First, the nurse should check for a carotid pulse to assess the client's circulation. If there is no pulse, they should then gently shake the client and ask if they are okay to determine if the client is conscious or responsive. If the client remains unresponsive, the nurse should call for a code blue, indicating a medical emergency, and then begin chest compressions.