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Multiple Choice
In the context of homeostasis, which client should the nurse prioritize to assess first?
A
A client with a stable blood pressure of 120/80 mmHg
B
A client with a normal body temperature of 98.6°F
C
A client with a slightly elevated heart rate after exercise
D
A client experiencing a sudden drop in blood pressure
Verified step by step guidance
1
Understand the concept of homeostasis: Homeostasis refers to the body's ability to maintain a stable internal environment despite changes in external conditions. It involves the regulation of various physiological parameters such as temperature, blood pressure, and heart rate.
Identify the parameters involved: In this scenario, the parameters to consider are blood pressure, body temperature, and heart rate. Each of these plays a crucial role in maintaining homeostasis.
Evaluate the stability of each parameter: A stable blood pressure of 120/80 mmHg and a normal body temperature of 98.6°F indicate that these parameters are within normal ranges and do not require immediate intervention. A slightly elevated heart rate after exercise is a normal physiological response and typically resolves on its own.
Recognize the significance of a sudden change: A sudden drop in blood pressure is a critical condition that can lead to inadequate blood flow to vital organs, potentially causing shock or other serious complications. This requires immediate assessment and intervention to restore homeostasis.
Prioritize based on urgency: In the context of homeostasis, the client experiencing a sudden drop in blood pressure should be prioritized for assessment first, as this condition poses an immediate threat to the body's ability to maintain a stable internal environment.