Difficulty: Medium
Average Score: 73%
Simulated
The nurse has received the following information about assigned clients. The nurse should first assess the client with
Correct answer
A
Rationale
Umbilical bruising in pancreatitis (A) suggests CullenÔÇÖs sign, indicating possible retroperitoneal hemorrhage, a life-threatening emergency. Mild hyperglycemia (B), elevated BP post-stroke (C), and nitroglycerin headache (D) are less urgent, as they are expected or manageable.