Microbiology · practice question

A 52-year-old client on a medical-surgical unit is being evaluated for nursing care related to sepsis pathophysiology basics. Assessment data include fever 101.8°F (38.8°C) with elevated WBC and bandemia. Which action should the nurse take first?

Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026microbiology

Assess airway, breathing, and circulation; address immediate safety risk; then notify the provider per protocol.Offer a warm blanket and reschedule assessment until after lunch.Complete all remaining scheduled tasks before reassessing the client.Wait for the provider's routine visit before acting on abnormal findings.

Answer and explanation

Correct answer

A. Assess airway, breathing, and circulation; address immediate safety risk; then notify the provider per protocol.

Why

NCLEX priority questions require stabilizing the client first using ABCs and focused assessment before comfort measures, documentation only, or delayed escalation.

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A 52-year-old client on a medical-surgical unit is being evaluated for nursing care related to sepsis pathophysiology basics. Assessment data include fever 101.8°F (38.8°C) with elevated WBC and bandemia. Which action should the nurse take first?

Correct answer

Why

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