Question

3. Prioritize the following orders from the most important (1) to the least important (9), and be prepared to explain the priorities you assigned. a. VS per routine b. Neurologic checks every 2 hours C. Turn, cough, and deep breathe and incentive spirometer (IS) every 2 hours while awake d. Ice pack and elevate right lower extremity and right upper extremity e. Neurovascular checks every 1 hour f. NPO g. IV fluids D5%NS at 100 mL/hr h. Morphine sulfate 5 mg IV every 4-6 hours prn i. Cefazolin (Ancef) 880 mg IV every 6 hours

Answer 1

1.The patient has to be kept nil by mouth .This has to be priority because the follow up care depends on this status and plan for any investigations, procedures, etc.,

2.Vital signs has to be checked to get the baseline status of the patient

3.Assess the the neurovascular statis of the limbs to ensure blood circulation

4.Neurologic status to be assessed to know any damage to nerve

5.Now ice application has to be applied to cease any bleeding ,pain ,and elevation to prevent swelling due to injury

6.Administer IV fluids to prevent fluid imbalance

7.Administer antibiotics to prevent infection

8.Pain relief has to be ensured

9.Position change has to be done when patient is awake