Nursing fundamentals · practice question
A 70-year-old client in a rehabilitation facility is being evaluated for nursing care related to pain basics. Assessment data include the client has not voided in 8 hours and lower abdomen is firm and tender. Which nursing action is the priority to keep the client safe?
Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026nursing-fundamentals
Answer and explanation
Correct answer
C. Stay with the client, remove immediate hazards, reassess, and escalate per facility safety protocol.
Why
Client safety requires direct assessment, hazard reduction, and timely escalation rather than assumptions, abandonment, or policy-only actions.
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