Pathophysiology · practice question
A 62-year-old client on a postoperative unit is being evaluated for nursing care related to endocrine dysfunction. Assessment data include urine output 15 mL/hr for 2 hours with rising creatinine. Which nursing action should the nurse take first?
Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026pathophysiology
Answer and explanation
Correct answer
C. 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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