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Pharmacology · practice question

A 34-year-old client on a telemetry unit is being evaluated for subcutaneous insulin therapy. Assessment data include bleeding from the IV site and platelets below the ordered threshold. Which nursing action should the nurse take first?

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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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