Pathophysiology · practice question
A 62-year-old client on a postoperative unit is being evaluated for nursing care related to inflammation and cellular injury. Assessment data include blood glucose 420 mg/dL with acetone breath and Kussmaul respirations. Which nursing action should the nurse take first?
Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026pathophysiology
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.
Test yourself on Pathophysiology
A free test with instant, explained results. No account needed.
More Pathophysiology questions
- A 59-year-old client in the intensive care unit is being evaluated for nursing care related to renal impairment.…
- A 59-year-old client in the intensive care unit is being evaluated for nursing care related to hypoxia and impaired…
- The RN is caring for a stable client who needs routine assistance related to nursing care related to neurologic…
- A 62-year-old client on a postoperative unit is being evaluated for nursing care related to renal impairment.…
- A 45-year-old client in the emergency department is being evaluated for nursing care related to inflammation and…
- A 62-year-old client on a postoperative unit is being evaluated for nursing care related to neurologic injury.…