Question

a nurse completes a rapid assessment of a client after a motor vehicle accident. they are alert, breathing at a rate of 24 breaths per minute, and talking in complete sentences to the nurse. what conclusion should the nurse draw from this assessment?
wers: a - d
a the client has severely low blood pressure.
b the client has a compromised airway.
c the client has adequate tissue perfusion.
d the client needs immediate attention.

Explanation:

The client being alert and able to talk in complete sentences along with a normal - ish breathing rate (24 breaths per minute which may be slightly elevated due to stress of accident but not extremely abnormal) indicates that the client has adequate tissue perfusion. Low blood pressure would likely cause altered mental status. A compromised airway would make it difficult to talk. Since the client shows relatively stable signs, immediate attention is not indicated as an emergency compared to having a compromised airway or severely low blood pressure.

Answer:

C. The client has adequate tissue perfusion.