Difficulty: Medium
Average Score: 83%
Simulated
The nurse has become aware of the following client situations. The nurse should first see the client who is receiving
Correct answer
A
Rationale
Blistering at a PICC site during chemotherapy (A) suggests extravasation, a medical emergency requiring immediate intervention to prevent tissue damage. Nausea and vomiting (B) and oral burning (C) are less urgent side effects. Sitting with visitors (D) is a normal activity and not concerning.