A nurse is providing care for clients in an ambulatory care setting. Which of the following is an initial priority function for which this nurse is responsible?
A) Performing risk assessments
B) Identifying the client by several means
C) Interviewing the client for chief complaint
D) Triaging the client to determine clinical acuity
D
Feedback:
Initially, nurses triage all clients to determine clinical acuity and the need to be seen immediately. In some states, initial triage must be performed by an RN. Triage by telephone is known as teletriage. Risk assessments, client identification, and client interviews would be performed by the nurse following triage.
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