Nutrition · practice question

A 79-year-old client on a medical-surgical unit is being evaluated for nursing care related to diabetes nutrition teaching. 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 choiceHardnclex-rn-bsnnclex-validatednclex-2026nutrition

Document the client as stable without reassessment.Implement the final step of the care plan before assessing the client.Wait for the provider's routine visit before acting on abnormal findings.Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.

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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A 79-year-old client on a medical-surgical unit is being evaluated for nursing care related to diabetes nutrition teaching. 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?

Correct answer

Why

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