Adult health / medical-surgical nursing · practice question
A 68-year-old client on a medical-surgical unit is being evaluated for neutropenia during chemotherapy. Assessment data include the client reports worst headache of life with neck stiffness. Using the clinical judgment model, what is the nurse's first step?
Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026adult-health-med-surg
Answer and explanation
Correct answer
C. 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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