Anatomy & Physiology I/II · practice question

A 45-year-old client in the emergency department is being evaluated for nursing care related to immune and inflammatory response. Assessment data include client appears anxious and asks for help understanding the care plan. Which nursing action is the priority to keep the client safe?

Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026anatomy-physiology

Stay with the client, remove immediate hazards, reassess, and escalate per facility safety protocol.Apply the first intervention in the policy manual without a current assessment.Leave the client alone to promote independence while finishing charting.Tell the client symptoms are expected and avoid notifying the health care team.

Answer and explanation

Correct answer

A. 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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A 45-year-old client in the emergency department is being evaluated for nursing care related to immune and inflammatory response. Assessment data include client appears anxious and asks for help understanding the care plan. Which nursing action is the priority to keep the client safe?

Correct answer

Why

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