Health assessment · practice question

A 49-year-old client in the emergency department is being evaluated for pain assessment during hospitalization. Assessment data include the client reports no sleep and increasing agitation overnight. Which finding requires the nurse to intervene immediately?

Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026health-assessment

A stable, long-standing finding that matches the expected care plan.Routine data unchanged from the prior assessment.The new finding that reports no sleep and increasing agitation overnight.A comfort request with unchanged vital signs and no new symptoms.

Answer and explanation

Correct answer

C. The new finding that reports no sleep and increasing agitation overnight.

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 49-year-old client in the emergency department is being evaluated for pain assessment during hospitalization. Assessment data include the client reports no sleep and increasing agitation overnight. Which finding requires the nurse to intervene immediately?

Correct answer

Why

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