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Health assessment · practice question

A 66-year-old client in an outpatient clinic is being evaluated for focused reassessment during hospitalization. Assessment data include blood pressure 180/102 mm Hg with headache and blurred vision. Using ABCs and Maslow, which need should the nurse address first?

Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026health-assessment
Choose one answer
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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