You are an emergency room nurse and have just clocked in and gotten report on your four patients. Which patient should you see first?

 

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Correct

- 45 year old male with new onset confusion and staring up to the right

- 26 year old female with ear drainage that is yellow. Patient has a history of eustacian tube cancer.

- 92 year old male with a fall and arm pain with obvious deformity

- 45 year old female with a typical migraine, history of migraines, home medications are not working

Rationale

If a patient is confused and are not normally confused they are high on the list for priority, however this patient is the priority because they are having a potential stroke. Staring off, having a fixed gaze, especially to one side is a sign of stroke. All other patients are stable, the fall would be seen next followed by either the ear drainage or migraine.

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