Pathophysiology · practice question

A 45-year-old client in the emergency department is being evaluated for nursing care related to hypoxia and impaired gas exchange. Assessment data include hemoglobin 6.8 g/dL with pallor and hypotension 90/55 mm Hg. Which nursing action is the priority to keep the client safe?

Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026pathophysiology

Stay with the client, remove immediate hazards, reassess, and escalate per facility safety protocol.Leave the client alone to promote independence while finishing charting.Apply the first intervention in the policy manual without a current assessment.Complete nonurgent tasks first because the client appears calm.

Answer and explanation

Correct answer

A. Stay with the client, remove immediate hazards, reassess, and escalate per facility safety protocol.

Why

Client safety requires direct assessment, hazard reduction, and timely escalation rather than assumptions, abandonment, or policy-only actions.

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A 45-year-old client in the emergency department is being evaluated for nursing care related to hypoxia and impaired gas exchange. Assessment data include hemoglobin 6.8 g/dL with pallor and hypotension 90/55 mm Hg. Which nursing action is the priority to keep the client safe?

Correct answer

Why

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