Nutrition · practice question
A 58-year-old client after a stroke is being evaluated for nursing care related to hydration and fluid balance. Assessment data include the client has 6% unintentional weight loss in 1 month and albumin 2.8 g/dL. Which nursing action should the nurse take first?
Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026nutrition
Answer and explanation
Correct answer
D. 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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