Questions 53

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NCLEX RN Questions Nursing Fundamentals Questions

Extract:


Question 1 of 5

A nurse is caring for a client with pneumonia who is in bilateral wrist restraints for removing multiple peripheral vascular access devices. Upon assessment, the client developed agitation and increased confusion. The nurse should take which priority action?

Correct Answer: A

Rationale: Obtaining vital signs is the priority to assess for physiological causes of agitation and confusion, such as hypoxia or fever.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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