Adult health / medical-surgical nursing · practice question
A 68-year-old client on a medical-surgical unit is being evaluated for acute stroke symptoms. Assessment data include urine output 15 mL/hr for 2 hours with rising creatinine. Using the clinical judgment model, what is the nurse's first step?
Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026adult-health-med-surg
Answer and explanation
Correct answer
A. Recognize and analyze relevant cues to determine whether the client is stable or deteriorating.
Why
NCSBN clinical judgment begins with recognizing and analyzing cues before taking action or evaluating outcomes.
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