Anatomy & Physiology I/II · practice question

A 62-year-old client on a postoperative unit is being evaluated for nursing care related to neurologic control and level of consciousness. Assessment data include the client reports dizziness when standing. Which nursing action should the nurse take first?

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

Apply restraints without assessing less restrictive safety options first.Implement the final step of the care plan before assessing the client.Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.Document the client as stable without reassessment.

Answer and explanation

Correct answer

C. 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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A 62-year-old client on a postoperative unit is being evaluated for nursing care related to neurologic control and level of consciousness. Assessment data include the client reports dizziness when standing. Which nursing action should the nurse take first?

Correct answer

Why

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