You have received oncoming report. Using concepts of Maslow and ...

[clippers!]

You have received oncoming report. Using concepts of Maslow and Watson for priority setting, which client would you assess first?
 
  1.
  A diabetic patient with a newly diagnosed foot ulcer
  2.
  A patient who is 3-days postoperative following abdominal surgery with no bowel sounds
  3.
  An asthmatic pediatric patient with expiratory wheezing
  4.
  A cardiac client who had chest pain relieved after the third nitroglycerin 1 hour ago.

Question 2

The nurse has given report to the oncoming nurse. She must clock out in 10 minutes to avoid overtime, which has been looked upon as poor time management and discouraged by nursing administration. The oncoming nurse has been called away.
 
  A client who has experienced ineffective pain management during the shift is due for more medication and requests it. What is the nurse's decision-making regarding personal priorities based on?
  1.
  Alternative plans to meet all of the objectives
  2.
  A strong knowledge base
  3.
  Input from others
  4.
  A personal value system

[coyin]

Answer to Question 1

ANS: 3
Applying the theorist concepts and the ABCs, the patient with altered airway or breathing gets first priority, followed by the patient with circulatory problems.

Answer to Question 2

ANS: 4
The first step in setting personal priorities is to develop a personal value system that will guide the nurse in determining what is most important.