Difficulty: Medium
Average Score: 73%
Full-length
The nurse is caring for clients on a medical/surgical unit and determines that several situations need to be addressed.
Correct answer
D
Rationale
A nosebleed post-radiation therapy is the least stable situation, as it may indicate a serious complication like thrombocytopenia or tissue damage, requiring immediate assessment. Legal threats, staff issues, and lab result requests are less urgent than a potentially life-threatening condition.