Microbiology · practice question

A 71-year-old client in a long-term care facility is being evaluated for nursing care related to bacteria, viruses, fungi, and parasites. Assessment data include watery diarrhea 8 times today after antibiotic therapy. Using the clinical judgment model, what is the nurse's first step?

Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026microbiology

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

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 71-year-old client in a long-term care facility is being evaluated for nursing care related to bacteria, viruses, fungi, and parasites. Assessment data include watery diarrhea 8 times today after antibiotic therapy. Using the clinical judgment model, what is the nurse's first step?

Correct answer

Why

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