Nutrition · practice question
A 58-year-old client after a stroke is being evaluated for nursing care related to enteral nutrition. Assessment data include the client receives enteral feeding and develops abdominal distention with nausea. Which action should the nurse take first?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026nutrition
Answer and explanation
Correct answer
D. 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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