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What assessment finding requires escalation of care?
Asked on Nov 26, 2025
Answer
In nursing practice, recognizing assessment findings that require escalation of care is crucial for patient safety. An example of such a finding is a sudden change in a patient's level of consciousness, which can indicate a serious underlying condition that needs immediate attention.
Example Concept: A sudden change in a patient's level of consciousness is a critical finding that requires immediate nursing intervention and escalation. This change can be indicative of neurological deterioration, hypoxia, or other acute conditions. Promptly notifying the healthcare provider and preparing for potential interventions such as advanced airway management or imaging studies is essential to ensure patient safety and optimal outcomes.
Additional Comment:
- Always assess airway, breathing, and circulation (ABCs) first in any critical situation.
- Document the patient's baseline and current neurological status accurately.
- Communicate changes using the SBAR (Situation, Background, Assessment, Recommendation) technique for clarity and efficiency.
- Be aware of other urgent findings such as chest pain, severe shortness of breath, or uncontrolled bleeding.
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