Community / public health nursing · practice question

The home health nurse during an initial home visit is being evaluated for community health nursing and health disparities. 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 choiceHardnclex-rn-bsnnclex-validatednclex-2026community-public-health

Tell the client symptoms are expected and avoid notifying the health care team.Stay with the client, remove immediate hazards, reassess, and escalate per facility safety protocol.Apply the first intervention in the policy manual without a current assessment.Leave the client alone to promote independence while finishing charting.

Answer and explanation

Correct answer

B. 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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