Miranda Johnson
Allergies: Penicillin
Diagnosis: labor and delivery: epidural anesthesia
DOB: 3/30/1992
MRN: 88914180
Room: 110
Weight: 113.6 kg (250 Ib)
, Safety and Risk Reduction
Your response:
X Low Priority
You correctly selected 2 of the 5 responses.
Your response is incorrect.
Maslow's Hierarchy of Needs Rationale:
The nurse should identify that this client is a high priority when using the Safety and Risk Reduction framework to
Your response:
client care. The client is in active labor, experiencing pain of an 8 on a scale of 0 to 10, and requesting an epidural
© High Priority
indicating a need for frequent assessment and implementation of safety measures. A client in active labor may ex
dizziness with changes to an upright position, so care must be taken with ambulation.
Your response is correct.
Rationale: Urgent vs nonurgent
The nurse should identify that this client is a high priority when using Maslow's Hierarchy of Needs framework to organize Your response:
client care. The client is exhibiting pain of 8 on a scale of 0-10, anxiety related to labor and the birthing process, and is © High Priority
receiving IV fluids that require close monitoring of intake and output.
Your response is correct.
Rationale:
Airway, Breathing, Circulation
The nurse should identify that this client is a high priority when using the Urgent versus Nonurgent framework to
Your response: client care. The client is in active labor with a SROM. A multiparous client in active labor and ruptured membranes
X High Priority progress quickly, so frequent monitoring is needed.
Your response is incorrect. Chronic vs Acute / Stable vs Unstable
Rationale:
Your response:
The nurse should identify that this client is a low priority when using the Airway, Breathing, Circulation framework to X High Priority
organize client care. The client and fetus are currently stable. Labor is progressing as expected and the FHR pattern is
reassuring. Although stable at this time, frequent monitoring while in active labor is expected.
Your response is incorrect.
Rationale:
The nurse should identify that this client is a low priority when using the Chronic vs Acute / Stable vs Unstable fra
to organize client care. The client is currently stable and progressing as expected; however, frequent monitoring f
cnanges in condition and progression of labor is required as condition can Change quickly in both the mother and
fatie
Allergies: Penicillin
Diagnosis: labor and delivery: epidural anesthesia
DOB: 3/30/1992
MRN: 88914180
Room: 110
Weight: 113.6 kg (250 Ib)
, Safety and Risk Reduction
Your response:
X Low Priority
You correctly selected 2 of the 5 responses.
Your response is incorrect.
Maslow's Hierarchy of Needs Rationale:
The nurse should identify that this client is a high priority when using the Safety and Risk Reduction framework to
Your response:
client care. The client is in active labor, experiencing pain of an 8 on a scale of 0 to 10, and requesting an epidural
© High Priority
indicating a need for frequent assessment and implementation of safety measures. A client in active labor may ex
dizziness with changes to an upright position, so care must be taken with ambulation.
Your response is correct.
Rationale: Urgent vs nonurgent
The nurse should identify that this client is a high priority when using Maslow's Hierarchy of Needs framework to organize Your response:
client care. The client is exhibiting pain of 8 on a scale of 0-10, anxiety related to labor and the birthing process, and is © High Priority
receiving IV fluids that require close monitoring of intake and output.
Your response is correct.
Rationale:
Airway, Breathing, Circulation
The nurse should identify that this client is a high priority when using the Urgent versus Nonurgent framework to
Your response: client care. The client is in active labor with a SROM. A multiparous client in active labor and ruptured membranes
X High Priority progress quickly, so frequent monitoring is needed.
Your response is incorrect. Chronic vs Acute / Stable vs Unstable
Rationale:
Your response:
The nurse should identify that this client is a low priority when using the Airway, Breathing, Circulation framework to X High Priority
organize client care. The client and fetus are currently stable. Labor is progressing as expected and the FHR pattern is
reassuring. Although stable at this time, frequent monitoring while in active labor is expected.
Your response is incorrect.
Rationale:
The nurse should identify that this client is a low priority when using the Chronic vs Acute / Stable vs Unstable fra
to organize client care. The client is currently stable and progressing as expected; however, frequent monitoring f
cnanges in condition and progression of labor is required as condition can Change quickly in both the mother and
fatie
