Posted: December 21st, 2017

The client arrives in the emergency department after a motor vehicle accident. Nursing assessment findings include BP 80/34, pulse rate 120, and respirations 20. Which is the client’s most appropriate priority nursing diagnosis?

The client arrives in the emergency department after a motor vehicle
accident. Nursing assessment findings include BP 80/34, pulse
rate 120, and respirations 20. Which is the client’s most appropriate
priority nursing diagnosis?
❍ A. Alteration in cerebral tissue perfusion
❍ B. Fluid volume deficit
❍ C. Ineffective airway clearance
❍ D. Alteration in sensory perception