Community / public health nursing · practice question

The community health nurse at a public health clinic is being evaluated for community health nursing and screening programs. Assessment data include a neighborhood screening event identifies multiple clients with blood pressure above 180/100 mm Hg. Which nursing action is the priority to keep the client safe?

Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026community-public-health

Apply the first intervention in the policy manual without a current assessment.Leave the client alone to promote independence while finishing charting.Give a blanket answer that everything is fine and continue the prior plan.Stay with the client, remove immediate hazards, reassess, and escalate per facility safety protocol.

Answer and explanation

Correct answer

D. Stay with the client, remove immediate hazards, reassess, and escalate per facility safety protocol.

Why

Client safety requires direct assessment, hazard reduction, and timely escalation rather than assumptions, abandonment, or policy-only actions.

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