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 generate solutions. Assessment data include new vital signs show blood pressure 88/50 mm Hg, heart rate 124/min, and increasing confusion. Which infection-prevention action is essential?

Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026clinical-judgment-next-gen-nclex

Use sterile technique for all routine hygiene regardless of diagnosis.Wear gloves only and skip hand hygiene when leaving the room.Perform hand hygiene and apply the transmission-based precautions indicated by the client's diagnosis.Skip precautions if the client has no fever.

Answer and explanation

Correct answer

C. Perform hand hygiene and apply the transmission-based precautions indicated by the client's diagnosis.

Why

Infection control matches the pathogen route: hand hygiene plus appropriate precautions for contact, droplet, or airborne transmission.

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An RN prioritizing care after a change in status is being evaluated for nursing care related to generate solutions. Assessment data include new vital signs show blood pressure 88/50 mm Hg, heart rate 124/min, and increasing confusion. Which infection-prevention action is essential?

Correct answer

Why

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