Question

A nurse in an emergency department is assessing an older adult client who has a fractured wrist following a fall. During the assessment, the client states, "Last week I crashed my car because my vision suddenly became blurry." Which of the following actions is the nurse's priority?

a) Assess the client's pain level in the fractured wrist.
b) Order an X-ray for the fractured wrist.
c) Ask about any recent changes in the client's vision.
d) Check for signs of concussion.

Answer 1

The nurse's priority is to ask about any recent changes in the client's vision.

Step-by-step explanation:

The nurse's priority action in this situation is to c) Ask about any recent changes in the client's vision. The client's statement about experiencing blurry vision before crashing their car raises concerns about a potential underlying health issue that may have contributed to the fall and fractured wrist. Assessing the client's vision changes will help determine if further medical intervention or referrals are necessary.