Difficulty: Medium
Average Score: 89%
Simulated
The nurse has received the following information about assigned clients. The nurse should first assess the client with
Correct answer
B
Rationale
Black, tarry stools in a client on warfarin (B) suggest gastrointestinal bleeding, a life-threatening complication requiring immediate assessment. Respiratory acidosis (A) is concerning but less acute if stable. Refusing to eat post-insulin (C) risks hypoglycemia but is less urgent. Pancreatitis pain (D) rated 3/10 is manageable.