Moderate

Four patients are assigned to a nurse. Which patient should the nurse assess first?

Correct answer: B. A patient reporting sudden difficulty speaking

  • A. A patient requesting help to choose lunch
  • B. A patient reporting sudden difficulty speaking
  • C. A patient asking for a routine bath
  • D. A patient with mild pain before breakfast

Explanation

Sudden difficulty speaking may indicate an acute neurological emergency and requires immediate assessment for safety and possible loss of airway or other vital functions. The other requests are important but can safely wait until the unstable patient is assessed.

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About Nursing Process and Health Assessment

Assessment gathers subjective and objective data through health history, physical examination and observation. The nursing process then uses nursing diagnoses, planning, implementation and evaluation to provide individualised care, while distinguishing a nursing diagnosis from a medical diagnosis and identifying priorities such as airway, breathing, circulation and safety.

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