Reduction of Risk Potential Practice Question

Question

The nurse is caring for a client with immobility and is focused on electrolyte imbalance scenario 8. Which nursing action is most appropriate?

Answer choices

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

Correct Answer

A. 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: easy
• Domain: Reduction of Risk Potential
• Objective: electrolyte imbalance

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