Level: Foundational
Difficulty: Easy
Subtopic: Research question and PICO
NCLEX: The quality-improvement nurse reviewing fall-rate data is being evaluated for evidence-based practice and researc…
Statistics or evidence-based practice Management of Care
Case Study
The quality-improvement nurse reviewing fall-rate data is being evaluated for evidence-based practice and research question and pico. Assessment data include a guideline recommends chlorhexidine bathing for central-line infection prevention. Which action should the nurse take first?
Question
A. Offer a warm blanket and reschedule assessment until after lunch.
B. Complete all remaining scheduled tasks before reassessing the client.
C. Wait for the provider's routine visit before acting on abnormal findings.
D. Assess airway, breathing, and circulation; address immediate safety risk; then notify the provider per protocol.
B. Complete all remaining scheduled tasks before reassessing the client.
C. Wait for the provider's routine visit before acting on abnormal findings.
D. Assess airway, breathing, and circulation; address immediate safety risk; then notify the provider per protocol.
Rationale
Correct answer: D. Assess airway, breathing, and circulation; address immediate safety risk; then notify the provider per protocol.
Rationale: NCLEX priority questions require stabilizing the client first using ABCs and focused assessment before comfort measures, documentation only, or delayed escalation.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.
Rationale: NCLEX priority questions require stabilizing the client first using ABCs and focused assessment before comfort measures, documentation only, or delayed escalation.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.