Chemistry or biochemistry basics · practice question

A 68-year-old client on a medical-surgical unit is being evaluated for nursing care related to osmosis and tonicity. Assessment data include pain increases from 3/10 to 8/10 over 30 minutes. Using the clinical judgment model, what is the nurse's first step?

Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026chemistry-biochemistry

Document the assessment at the end of the shift and continue the prior plan.Recognize and analyze relevant cues to determine whether the client is stable or deteriorating.Implement the first intervention on the existing care plan without reviewing new data.Evaluate discharge readiness before addressing acute findings.

Answer and explanation

Correct answer

B. Recognize and analyze relevant cues to determine whether the client is stable or deteriorating.

Why

NCSBN clinical judgment begins with recognizing and analyzing cues before taking action or evaluating outcomes.

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A 68-year-old client on a medical-surgical unit is being evaluated for nursing care related to osmosis and tonicity. Assessment data include pain increases from 3/10 to 8/10 over 30 minutes. Using the clinical judgment model, what is the nurse's first step?

Correct answer

Why

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