Saunders Comprehensive Review for the NCLEX-RN Examination the nurse is caring for a patient with a diagnosis of heart failure who suddenly complains about shortness of breath and dyspnea. the nurse ... should take which immediate action - elevate the head of the patients bed early sign of hypovolemic shock - increased pulse rate What should you consider when selecting an answer or determining the order of priority - using ABCs A-airway B-breathing C-circulation (exception: CPR. then remember CAB- compression, airway, breathing) use maslow hierarchy of needs theory when prioritizing - 1). basic physiological need 2). safety and security 3). love and belonging 4). self esteem 5). self actualization use the steps of the nursing process to prioritize - assessment analysis planning implementation evaluation eliminate options that contain closed ended words- [Show More]
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