The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of a first-level priority problem?
a. Patient with postoperative pain
b. Newly diagnosed patient with diabetes who needs diabetic teaching
c. Individual with a small laceration on the sole of the foot
d. Individual with shortness of breath and respiratory distress
d. Individual with shortness of breath and respiratory distress
In the context of priority setting, an individual with shortness of breath and respiratory distress would be considered a first-level priority problem.
First-level priority problems are those that pose an immediate threat to life or a risk of serious harm if not addressed promptly. They typically involve physiological needs or acute conditions that require urgent intervention.
Respiratory distress and shortness of breath can be indicative of a potentially life-threatening condition, such as respiratory failure, airway obstruction, or a severe respiratory illness. These conditions can rapidly deteriorate and compromise the individual’s ability to maintain adequate oxygenation and ventilation, which are essential for survival.
Therefore, an individual presenting with shortness of breath and respiratory distress would be considered a first-level priority, as prompt assessment, intervention, and potential treatment are crucial to prevent further deterioration and ensure the individual’s safety and well-being.
First-level priority problems are those that are emergent, life-threatening, and immediate (e.g., establishing an airway, supporting breathing, maintaining circulation, monitoring abnormal vital signs) (see Table 1-1).