Nutrition · practice question

A 63-year-old client with chronic kidney disease is being evaluated for nursing care related to diabetes nutrition teaching. Assessment data include the client receives enteral feeding and develops abdominal distention with nausea. Using the clinical judgment model, what is the nurse's first step?

Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026nutrition

Recognize and analyze relevant cues to determine whether the client is stable or deteriorating.Evaluate discharge readiness before addressing acute findings.Document the assessment at the end of the shift and continue the prior plan.Implement the first intervention on the existing care plan without reviewing new data.

Answer and explanation

Correct answer

A. Recognize and analyze relevant cues to determine whether the client is stable or deteriorating.

Why

NCSBN clinical judgment begins with recognizing and analyzing cues before taking action or evaluating outcomes.

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A 63-year-old client with chronic kidney disease is being evaluated for nursing care related to diabetes nutrition teaching. Assessment data include the client receives enteral feeding and develops abdominal distention with nausea. Using the clinical judgment model, what is the nurse's first step?

Correct answer

Why

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