Ati nurs 220 health assessment proctored exam
A client arrives in the Emergency Department via ambulance with the following signs: central cyanosis, HR 42, BP 80/50. What priority level should the nurse identify for this client?
Explanation & Rationale
A. This category refers to non-urgent problems, which does not apply here as the client is showing signs of severe distress and requires immediate attention. B. Central cyanosis, a low heart rate (bradycardia), and low blood pressure are life-threatening signs that necessitate immediate intervention to stabilize the patient. C. This is not a routine or minor situation. The client is in critical condition and requires urgent intervention. D. While second-level priorities are important, this patient has life-threatening signs requiring first-level priority, immediate action, and stabilization.
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