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Clinical judgment / Next Gen NCLEX case studies · practice question

An RN prioritizing care after a change in status is being evaluated for nursing care related to take action. Assessment data include the medication record, labs, and assessment notes contain conflicting cues. Which finding requires the nurse to intervene immediately?

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Answer and explanation

Correct answer

D. The new finding that the medication record, labs, and assessment notes contain conflicting cues.

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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