Health assessment · practice question

A 66-year-old client in an outpatient clinic is being evaluated for cardiovascular assessment during hospitalization. Assessment data include the client has not voided in 8 hours and lower abdomen is firm and tender. Using ABCs and Maslow, which need should the nurse address first?

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

Airway, breathing, and circulation problems before comfort or psychosocial needs.Long-term teaching before treating acute physiologic risk.Visitor concerns before physiologic stability.Pain relief before checking airway and breathing.

Answer and explanation

Correct answer

A. Airway, breathing, and circulation problems before comfort or psychosocial needs.

Why

Physiologic stability and ABCs take priority over comfort, teaching, or psychosocial needs when the client is unstable.

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A 66-year-old client in an outpatient clinic is being evaluated for cardiovascular assessment during hospitalization. Assessment data include the client has not voided in 8 hours and lower abdomen is firm and tender. Using ABCs and Maslow, which need should the nurse address first?

Correct answer

Why

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