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Management Of Care>Prioritization First Action Practice Test

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Q1

You receive report on four clients:

  • A 68-year-old with COPD exacerbation is dyspneic with RR 30, accessory muscle use, and SpO2 82% on room air.
  • A 55-year-old post-op cholecystectomy reports pain 7/10; BP 128/76, HR 88.
  • A 40-year-old with type 1 diabetes has blood glucose 58 mg/dL, is diaphoretic but alert and oriented.
  • A 28-year-old 6 hours postpartum has saturated one perineal pad in 1 hour; fundus is firm.

Which action should the nurse take first?

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