Anatomy & Physiology I/II · practice question

A 45-year-old client in the emergency department is being evaluated for nursing care related to respiratory gas exchange. Assessment data include pain increases from 3/10 to 8/10 over 30 minutes. Which nursing action is the priority to keep the client safe?

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

Leave the client alone to promote independence while finishing charting.Apply the first intervention in the policy manual without a current assessment.Stay with the client, remove immediate hazards, reassess, and escalate per facility safety protocol.Wait for the provider's routine visit before acting on abnormal findings.

Answer and explanation

Correct answer

C. 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 respiratory gas exchange. Assessment data include pain increases from 3/10 to 8/10 over 30 minutes. Which nursing action is the priority to keep the client safe?

Correct answer

Why

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