Nutrition · practice question

A 58-year-old client after a stroke is being evaluated for nursing care related to renal and cardiac diet patterns. Assessment data include the client coughs when drinking thin liquids and has wet vocal quality after swallowing. Which nursing action should the nurse take first?

Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026nutrition

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

Answer and explanation

Correct answer

B. 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 58-year-old client after a stroke is being evaluated for nursing care related to renal and cardiac diet patterns. Assessment data include the client coughs when drinking thin liquids and has wet vocal quality after swallowing. Which nursing action should the nurse take first?

Correct answer

Why

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