The following four patients arrive in the emergency department (ED) after a motor vehicle collision. In which order should the nurse assess them? (Put a comma and a space between each answer choice [A, B, C, D, E].)

a. A 74-year-old with palpitations and chest pain
b. A 43-year-old complaining of 7/10 abdominal pain
c. A 21-year-old with multiple fractures of the face and jaw
d. A 37-year-old with a misaligned left leg with intact pulses


ANS:
C, A, B, D
The highest priority is to assess the 21-year-old patient for airway obstruction, which is the most life-threatening injury. The 74-year-old patient may have chest pain from cardiac ischemia and should be assessed and have diagnostic testing for this pain. The 43-year-old patient may have abdominal trauma or bleeding and should be seen next to assess circulatory status. The 37-year-old appears to have a possible fracture of the left leg and should be seen soon, but this patient has the least life-threatening injury.

Nursing

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