Response 1

As stated, my top goal for client one was to deliver nebulizer treatments and IV antibiotics

because they were interventions directly related to the client's Pneumonia diagnosis. This

diagnosis was given top priority because it was the patient's only acute diagnosis. The usage of

nebulizers was also prioritized because it is directly related to airway and breathing, which is the

highest priority issue according to the ABC system (Cho et al., 2020). My highest priority

intervention for this patient was to undertake neurovascular exams. This patient is one-day post-

op, which suggests that his or her neurovascular condition may be in jeopardy. Poor perfusion

can result in limb loss and other complications, therefore it is vital to keep an eye on the

neurovascular condition. This diagnosis was given top priority because it was an urgent

condition that required ongoing assessment and evaluation.

Response 2

I agree that the patient's priority was to ensure that his blood glucose levels were checked and

insulin was given before meals, as well as that he received all of his nebulizer treatments, as

these are essential components of the ABCs prioritization method. If he is unable to breathe due

to not receiving his nebulizer treatment, his airway could become compromised, and he could

die, and if his blood glucose levels were too high, he could die (Nayak, 2018). My second

patient's neuro checks were my priority, ensuring the safety and prompt administration of her

RBC transfusion. While the ABC's are wonderful for recognizing and prioritizing physical health

problems in the client, such as changes in breathing, they do not always account for the client's

emotional and self-esteem needs, which is why I also employed Maslow's Hierarchy.

Response 3
Indeed, my first client's ABC's were my top priority. My main goal was to get the client's airway,

circulation, and breathing under control because he had pneumonia and his lung function was

affected. My second client's ABCs were also a top priority for me. Because this client had an L

arm fracture and an order for RBCs, my first concern was that he had insufficient circulation due

to blood loss (Bloomer et al., 2018). To help me prioritize these clients, I employed the strategy

of separating urgent from non-urgent jobs. One aspect of this strategy that I dislike is that it

causes me to second-guess my priorities. I honestly second-guessed the provider's orders to give

the client antibiotics at 10 and 2 in the first client scenario. I kept thinking that if the patients

received their medicines sooner, they would work faster to treat pneumonia.
 References

Bloomer, M. J., Clarke, A. B., & Morphet, J. (2018). Nurses' prioritization of enteral nutrition in

intensive care units: a national survey. Nursing in critical care, 23(3), 152-158.

Cho, S. H., Lee, J. Y., You, S. J., Song, K. J., & Hong, K. J. (2020). Nurse staffing, nurses

prioritization, missed care, quality of nursing care, and nurse outcomes. International

Journal of Nursing Practice, 26(1), e12803.

Nayak, S. G. (2018). Time management in nursing–hour of need. International journal of caring

sciences, 11(3), 1997-2000.