Anatomy & Physiology I/II · practice question

A 62-year-old client on a postoperative unit is being evaluated for nursing care related to endocrine regulation. Assessment data include laboratory results return outside the expected range for this condition. Which nursing action should the nurse take first?

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

Implement the final step of the care plan before assessing the client.Document the client as stable without reassessment.Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.Tell the client symptoms are expected and avoid notifying the health care team.

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 endocrine regulation. Assessment data include laboratory results return outside the expected range for this condition. Which nursing action should the nurse take first?

Correct answer

Why

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