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    Ati nur213 med surg proctored exam ( Excelsior university)

    A nurse is caring for an adult client in the emergency department who was involved in a motor-vehicle crash. A nurse is providing care for a client who was involved in a motor-vehicle crash. Complete the following sentence by using the list of options. The nurse should first address the client's _____ , followed by the client's _____ .

    Explanation & Rationale

    Circulatory Status (First Priority) The client shows signs of hypovolemic shock: faint peripheral pulses, clammy skin, tachycardia (118/min), low blood pressure (102/60 mm Hg), low hemoglobin (9 g/dL), and hematocrit (20%). Pink-tinged urine and low urinary output (25 mL/hr) suggest poor perfusion and possible internal bleeding. According to the ABCs of trauma care (Airway, Breathing, Circulation), circulation must be stabilized immediately to prevent cardiovascular collapse. Level of Consciousness (Second Priority) The client’s Glasgow Coma Scale score is 7, indicating severe impairment and risk for airway compromise if consciousness worsens. Neurological status is critical, but it is addressed after circulation because inadequate perfusion will further deteriorate brain function. Why not the other options? Temperature: Normal at 37.2° C, not an immediate concern. Oxygen saturation: 94% is slightly low but acceptable with supplemental oxygen already in place. WBC count: Within normal range, not urgent. Upper body findings, mobility, perceptions, sensory perception

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