NCLEX Priority Question

[kigambaful]

patient 2 is the priority patient ... the nurse dint do any interventions to stablize the bp ... bad nurse



[Toribella11]

Wow good thing all the off going nurse gave the pt was tylenol of rhis headache and nothing for his HTN with BP of 210/130!!! good thing he hasn't stoked out yet. His ICP is increasing most likely. However the key word that indicates the pt is the most likely to become unstable is "UNCONTROLLED" BP. This makes pt #2 the priority pt.

[flipdork]

#2 blood pressure has skyrocket can lead to increase ICP and further complications with dat

[TheKjhon]

patient # 2 because of unstable V/S.

[mamam2426]

pt#2 is vital unstable might be a sign for icp

[missjenny011]

I would see pt 2 but depending on the time pt 3 needs his antibiotic and you want to give it to him on time to maintain the therapeutic level

[rhoyboi]

# 2 because his high blood pressure is a result of his intracranial bleeding. Even though he had surgery he is hemodynamically unstable

[elysen100]

pt #2 coz VS r unstable...

[JordanGenteL]

the hyperthemia pt because if the high temp not reduced it will be a life threatening

[njames32]

Patient 2, only because she is the most unstable and the question ask for the priority.

[zeidangatbonton]

PATIENT 2!!! PHYSICAL AND CIRCULATORY PROBLEM BECAUSE OF BLEEDING

[jsimon8585]

# 2 FOR SURE

[binusa]

patient # 2 because of incranial bleeding at would be life threatening

[xxxfeoxxx]

number 1. youd only have to see her for a split second.

[sharie232002]

#2 because too high in BP may lead to stroke

[alosha22]

EASY !!!!!!!!!!!!!!!!

[samsung36ful]

pt.#2 her blood pressure is 210/130....its too high.

[Ezema25]

patient #2 because of unstable vital signs....we need to decrease all the vital signs

[jtons94]

patient two coz his discomfort may coz increase ICP

[bigworld3001]

#2, his head's gonna blow up!!

[jbarnesii8]

Patient 2 because his name is Joe

[crazzieoverjesse20]

patient 2.....

[amazekat03]

patient # 2 unstable BP! = )

[KenyattaLegacy]

pt #2 of course. Where did you get that cool soothing music..... this is an awesome way of studying.

[netzrn]

absolutely no doubt, the priority is pt#2

[holychrist1]

pt. # 2 because his vitals are in the high rancge b/p that is . and since he had I ICP i would worry about him first

[tbbeachgirl27]

Patient #2 for sure...the unstable BP is the 1st indicator! Hello...duh!

[janjanoca03]

i need to see the patient #2 because the crazy offgoing nurse despite of >200 SBP she gave only tylenol... hello. And next is make an incident report, lol.

[Pixiecolours]

See pt 2! HTN with the widened pulse pressure definately means severe increase ICP. With the tachcardia and tachpenia, it sounds like he is becoming hypovolemic, most likely from an active intracranial bleed! EMERGENCY! ACT QUICK!

[1010toria]

pt. number 2 v/s unstable

[neurotikjourney]

patient 1 -stable ,no signs of bleeding n pain is psychosocial not a priority .

patient 2 -priority poss..icp /bleeding unstable vital signs n therefore we use abc to determine which he has ciculation issues.

patient 3-stable and on antibiotics/pain controlled n no complaints.

[neurotikjourney]

u must think a-airway,b-breathing c-circulation to get the answer.

[neurotikjourney]

pt#2.unstable pt.

[madeinph]

patient #2..

[bboyat0m1c]

200+ systolic is too crazy

[bboyat0m1c]

pt #2

[njikoa]

pt 2 bcos his BP is in the toilet

[TheMariazation]

OK...patient # 1 her vital signs are stable....patient # 2, even though he wants you in his room because he has a rash on his crotch...his BP is high, he had intracranial surgery....and his heart rate is high also....patient # 3 does not need anything...he's on PCA = patient controlled analgesia and can administer his own pain medication.........PATIENT # 2 NEEDS HELP

[njikoa]

I SAID PT2 BCOS HIS BP IS IN THE DUMP !

[damarismontanez]

Pte 2 has HBP High; Intracaneal bleeding surgery was perform

[MissArmyNurse]

no.3

[Lovelytrini82]

I would sat patient number 2

[redneckrvadventure]

pt 2 because of the crazy bp reading of 210/130

[drugstorecowgirl61]

Pt. #2 see first.  He's the unstable patient.

[bhspickard]

I'd see patient #2 first. That antibiotic needs to be hung for #3 soon after though.

[willykid83]

pt 2

[tranurse]

i'd see pt #2.he might have an intercranial bleed.especially with the increased bp.i'd check his bp, see what he has for his bp and then call the doc. he would make me nervous. pt number 1, i think she is ok, she is stable, no s/s of internal bleeding. pt number 3 i'd see last, you can't really do anything until you get the culture reports and that can take 2 days. give him his abx, make him cough and deep breath, and walk. a lot of times, tc and db at least q2h can make the temp decrease.

[linsplace]

first patient because of liver biopsy or maybe I'm just hooked on anything having to do with the liver....My God Kathy I almost peed my pants on the injection vid I am TERRIFIED of needles!!!! Is this gonna be a pop quiz are we graded on a curved scale such as A=awsome B=baby got back C= can't do no better D= dum dum side show F= forget it you failed...can I have a hall pass so I can ditch class ha ha!!! My brain hurts now from thinking so hard ZQQM!!!

[jaxkipi]

LOL....you're so funny. Guess what I did tonight???? I checked the cost of airline tickets. To guess where?? Hmmm??? You will always get an A for Awesome...!

[linsplace]

OMGGGG wait at least until I get the biopsy and all the other test to see what the treatments gonna be daym I can just see your happy ass troting all the way out here to tumbleweed town ha ha ha!!! I LOVE YOU SO MUCH YOUR THE SHNIZZLE FORIZZLE=D=D

[jaxkipi]

Zzzzzzzziiiiiiiiippppp.... ;-P

[saltyeggs71]

I hate getting answers wrong but since I am not a nurse I'll say..guy two becuase of blood pressure and bleeding in his head. Guy number 3 would worry me because of the fever.

This is fun!

[jaxkipi]

Hhhhhhhhmmmmmmmmm......

[tranurse]

i also meant to say that pt #2 i'd be wondering about meningitis, or increased intercranial pressure. he would be the one that was going to do something stupid, like code.