Health assessment · practice question

A 74-year-old client on a medical-surgical unit is being evaluated for head and neck assessment 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

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

Answer and explanation

Correct answer

B. 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 74-year-old client on a medical-surgical unit is being evaluated for head and neck assessment 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?

Correct answer

Why

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