Reduction of Risk Potential Practice Question

Question

The nurse is caring for a client at risk for aspiration and is focused on lab interpretation scenario 6. 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. Identify values that require immediate follow-up based on client condition.
4. D. Document the concern without notifying the appropriate provider or care team member when escalation is needed.

Correct Answer

C. Identify values that require immediate follow-up based on client condition.

Explanation

The priority action for lab interpretation is to identify values that require immediate follow-up based on client condition. NCLEX-style prioritization favors safety, assessment, appropriate delegation, timely escalation, and client-centered teaching.

Question details

• Difficulty: medium
• Domain: Reduction of Risk Potential
• Objective: lab interpretation

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