Microbiology · practice question

A 44-year-old client in airborne isolation is being evaluated for nursing care related to bacteria, viruses, fungi, and parasites. Assessment data include productive cough for 2 weeks with night sweats and hemoptysis. Which nursing action should the nurse take first?

Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026microbiology

Implement the final step of the care plan before assessing the client.Document the client as stable without reassessment.Administer the next scheduled intervention before reassessing the client.Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.

Answer and explanation

Correct answer

D. Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.

Why

First-action questions on the NCLEX require assessment and safety before treatment, documentation alone, or delegation of nursing judgment.

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A 44-year-old client in airborne isolation is being evaluated for nursing care related to bacteria, viruses, fungi, and parasites. Assessment data include productive cough for 2 weeks with night sweats and hemoptysis. Which nursing action should the nurse take first?

Correct answer

Why

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