Reduction of Risk Potential Practice Question

Question

The nurse is caring for a client after a procedure and is focused on electrolyte imbalance scenario 1. Which nursing action is most appropriate?

Answer choices

1. A. Delay assessment until the next scheduled round if the client is not calling for help.
2. B. Delegate the clinical assessment and nursing judgment to assistive personnel.
3. C. Connect symptoms, medications, and lab values to priority risks.
4. D. Document the concern without notifying the appropriate provider or care team member when escalation is needed.

Correct Answer

C. Connect symptoms, medications, and lab values to priority risks.

Explanation

The priority action for electrolyte imbalance is to connect symptoms, medications, and lab values to priority risks. NCLEX-style prioritization favors safety, assessment, appropriate delegation, timely escalation, and client-centered teaching.

Question details

• Difficulty: medium
• Domain: Reduction of Risk Potential
• Objective: electrolyte imbalance

Practice more

Start Reduction of Risk Potential practice

Back to Reduction of Risk Potential