Chemistry or biochemistry basics · practice question

A 68-year-old client on a medical-surgical unit is being evaluated for nursing care related to electrolyte charge and movement. Assessment data include vital signs change from earlier: blood pressure 94/60 mm Hg and heart rate 112/min. Which action should the nurse take first?

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

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

Answer and explanation

Correct answer

A. 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 electrolyte charge and movement. Assessment data include vital signs change from earlier: blood pressure 94/60 mm Hg and heart rate 112/min. Which action should the nurse take first?

Correct answer

Why

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