Adult health / medical-surgical nursing · practice question
A 45-year-old client in the emergency department is being evaluated for partial bowel obstruction. Assessment data include surgical incision with purulent drainage and fever 101.5°F (38.6°C). Which nursing action is the priority to keep the client safe?
Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026adult-health-med-surg
Answer and explanation
Correct answer
D. Stay with the client, remove immediate hazards, reassess, and escalate per facility safety protocol.
Why
Client safety requires direct assessment, hazard reduction, and timely escalation rather than assumptions, abandonment, or policy-only actions.
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