A client has been using the call light routinely throughout the evenin

A client has been using the call light routinely throughout the evening. Upon entering the room, the nurse observes the following details. Organize them according to priority sequencing (1 is first priority; 5 is least priority).

1. Family is at bedside.
2. The IV pump is running on battery.
3. ECG monitor shows tachycardia.
4. Client reports being restless.
5. O2 tubing is not attached to wall regulator.

ANSWER

Correct Answer: 3,4,5,2,1
Rationale 1: Has no apparent bearing on client’s symptoms
Rationale 2: Indicates an issue worth observing
Rationale 3: Indicates a objective cardiac symptom
Rationale 4: Indicates a subjective symptom
Rationale 5: Indicates a possible cause of client’s symptoms