Nursing fundamentals · practice question
A 76-year-old client in a long-term care facility is being evaluated for high fall risk on a medical unit. Assessment data include blood pressure 180/102 mm Hg with headache and blurred vision. Using ABCs and Maslow, which need should the nurse address first?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026nursing-fundamentals
Answer and explanation
Correct answer
A. Airway, breathing, and circulation problems before comfort or psychosocial needs.
Why
Physiologic stability and ABCs take priority over comfort, teaching, or psychosocial needs when the client is unstable.
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