Microbiology · practice question

A 44-year-old client in airborne isolation is being evaluated for communicable respiratory infection. Assessment data include productive cough for 2 weeks with night sweats and hemoptysis. Using the clinical judgment model, what is the nurse's first step?

Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026microbiology

Implement the first intervention on the existing care plan without reviewing new data.Evaluate discharge readiness before addressing acute findings.Recognize and analyze relevant cues to determine whether the client is stable or deteriorating.Document the assessment at the end of the shift and continue the prior plan.

Answer and explanation

Correct answer

C. Recognize and analyze relevant cues to determine whether the client is stable or deteriorating.

Why

NCSBN clinical judgment begins with recognizing and analyzing cues before taking action or evaluating outcomes.

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A 44-year-old client in airborne isolation is being evaluated for communicable respiratory infection. Assessment data include productive cough for 2 weeks with night sweats and hemoptysis. Using the clinical judgment model, what is the nurse's first step?

Correct answer

Why

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