Adult health / medical-surgical nursing · practice question
A client with pneumonia has temperature 101.8°F (38.8°C), heart rate 118/min, respirations 28/min, blood pressure 88/54 mm Hg, and confusion. What is the priority?
Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026adult-health-med-surg
Answer and explanation
Correct answer
B. Assess airway and breathing, provide oxygen, establish IV access, and notify the provider.
Why
Confusion, hypotension, and tachypnea suggest sepsis or shock; ABCs and rapid escalation take priority.
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