Anatomy & Physiology I/II · practice question

A 68-year-old client on a medical-surgical unit is being evaluated for nursing care related to respiratory gas exchange. Assessment data include laboratory results return outside the expected range for this condition. Which action should the nurse take first?

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

Offer a warm blanket and reschedule assessment until after lunch.Administer the next scheduled intervention before reassessing the client.Complete all remaining scheduled tasks before reassessing the client.Assess airway, breathing, and circulation; address immediate safety risk; then notify the provider per protocol.

Answer and explanation

Correct answer

D. Assess airway, breathing, and circulation; address immediate safety risk; then notify the provider per protocol.

Why

NCLEX priority questions require stabilizing the client first using ABCs and focused assessment before comfort measures, documentation only, or delayed escalation.

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A 68-year-old client on a medical-surgical unit is being evaluated for nursing care related to respiratory gas exchange. Assessment data include laboratory results return outside the expected range for this condition. Which action should the nurse take first?

Correct answer

Why

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