NCLEX-RN

Category - Care Management

Rick Rescue, RN is assessing a 28-year-old female client who is twenty-four weeks pregnant. Her very worried husband reports the client has been experiencing nausea and vomiting since this morning followed by a severe headache. The client tells Rick Rescue, RN, “I feel like I can’t see, my vision is so blurry!” Rick Rescue, RN observes the client is diaphoretic, experiencing tremors, and appears very anxious and tearful. P= 118, Blood pressure= 148/95. Which of the following is the most important question Rick Rescue, RN should ask to complete his assessment?
  1. “Have you taken or been exposed to any illicit drugs recently?”
  2. “When did you last eat or drink anything?”
  3. “Are you experiencing any cramps?”
  4. “Have you bumped your head recently?”
Explanation
Answer: B - Rick Rescue, RN recognizes his client is displaying the classic signs of hypoglycemia. Since he is still in the assessment phase of the nursing process, he needs to confirm his suspicions by asking this priority assessment question. The other questions are not relevant to hypoglycemia.
Was this helpful? Upvote!
Login to contribute your own answer or details

Top questions

Related questions

Most popular on PracticeQuiz