Anatomy & Physiology I/II · practice question
A 62-year-old client on a postoperative unit is being evaluated for nursing care related to respiratory gas exchange. Assessment data include the client develops redness and warmth at an IV insertion site. Which nursing action should the nurse take first?
Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026anatomy-physiology
Answer and explanation
Correct answer
A. Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.
Why
First-action questions on the NCLEX require assessment and safety before treatment, documentation alone, or delegation of nursing judgment.
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