Clinical judgment / Next Gen NCLEX case studies · practice question

A client in an unfolding case study is being evaluated for unfolding changes in a case study. Assessment data include the exhibit shows rising oxygen needs, new crackles, and decreasing urine output. Which finding requires the nurse to intervene immediately?

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A stable, long-standing finding that matches the expected care plan.A comfort request with unchanged vital signs and no new symptoms.The new finding that the exhibit shows rising oxygen needs, new crackles, and decreasing urine output.Routine data unchanged from the prior assessment.

Answer and explanation

Correct answer

C. The new finding that the exhibit shows rising oxygen needs, new crackles, and decreasing urine output.

Why

Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.

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A client in an unfolding case study is being evaluated for unfolding changes in a case study. Assessment data include the exhibit shows rising oxygen needs, new crackles, and decreasing urine output. Which finding requires the nurse to intervene immediately?

Correct answer

Why

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