Which of the following assessment types is used during every patient encounter to briefly evaluate level of consciousness, airway, breathing, and circulation and implement emergency care if needed?

The nurse recognizes indication of respiratory distress include which of thefollowing? (select all that apply)

Which is used in a technique to determine respiratory volumes?Multiple choice question.ElectroencephalogramSpirometerEchocardiogramSphygmomanometer

When caring for a patient who has septic shock, which assessment finding ismost important for the nurse to report to the care provider?(a) BP 92/56(b) Skin cool and clammy(c) Apical pulse 118 beats/min(d) Arterial oxygen saturation 91%

The ‘ABCDE approach’ is applicable in all clinical emergencies for immediate patient assessment. Which of the below is true regarding the ABCDE approach?Question 4Answera.It assumes that all patients have an airway problem and require immediate management.b.It is a method for carrying out a detailed physical assessment.c.It is a systematic method for identifying patient problems in order of priority.d.It acts as a system of determining which emergency department (ED) patients require priority care.

1a. Level of Consciousness: The investigator must choose a response, even if a full evaluation is prevented by such obstacles as an endotracheal tube, language barrier, orotracheal trauma/bandages. A 3 is scored only if the patient makes no movement (other than reflexive posturing) in response to noxious stimulation.0 = Alert; keenly responsive1 = Not alert, but arousable by minor stimulation to obey, answer, or respond2 = Not alert, requires repeated stimulation to attend, or is obtunded and requires strong or painful stimulation to make movements (not stereotyped)3 = Responds only with reflex motor or autonomic effects or totally unresponsive, flaccid, areflexic