Question

An emergency department (ED) nurse working triage has assessed four clients. Which client should receive the highest priority?1. Alert client who fell on the side walk. Skin warm and dry to the touch, with a three inch laceration on the right knee continuously oozing dark red liquid.2. Elderly client who moans when the nurse asks, "Can you hear me?" Respirations even/nonlabored. Skin slightly cool to touch with pale nailbeds.3. A client who "passed out" but regained consciousness when feet were elevated. Awake and confused, with warm and dry skin.4. An alert, responsive client who reports severe abdominal and shoulder pain that began two hours after eating at a local fast food restaurant. Skin is warm and dry

Answer 1

Based on the information provided, the client who should receive the highest priority is:

Elderly client who moans when the nurse asks, "Can you hear me?" Respirations even/nonlabored. Skin slightly cool to touch with pale nailbeds.

This client's moaning, altered level of consciousness, cool skin, and pale nailbeds suggest a potential medical emergency or critical condition that requires immediate attention. The symptoms may indicate a possible cardiovascular or respiratory problem that needs urgent evaluation and intervention.

Step-by-step explanation: