Pharmacology · practice question
A 34-year-old client on a telemetry unit is being evaluated for continuous IV fluid therapy. Assessment data include blood glucose 54 mg/dL with diaphoresis and confusion. Which nursing action should the nurse take first?
Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026pharmacology
Answer and explanation
Correct answer
A. 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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