Pharmacology · practice question
A 68-year-old client on a medical-surgical unit is being evaluated for heart failure and diuretic therapy. Assessment data include bleeding from the IV site and platelets below the ordered threshold. Which action should the nurse take first?
Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026pharmacology
Answer and explanation
Correct answer
C. Assess airway, breathing, and circulation; address immediate safety risk; then notify the provider per protocol.
Why
NCLEX priority questions require stabilizing the client first using ABCs and focused assessment before comfort measures, documentation only, or delayed escalation.
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