Nutrition · practice question

A 58-year-old client after a stroke is being evaluated for nursing care related to parenteral nutrition. Assessment data include the client has potassium 5.9 mEq/L while asking about salt substitutes. Which nursing action should the nurse take first?

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Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.Document the client as stable without reassessment.Implement the final step of the care plan before assessing the client.Tell the client symptoms are expected and avoid notifying the health care team.

Answer and explanation

Correct answer

A. 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 parenteral nutrition. Assessment data include the client has potassium 5.9 mEq/L while asking about salt substitutes. Which nursing action should the nurse take first?

Correct answer

Why

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