Difficulty: Medium
Average Score: 65%
Simulated
The nurse is caring for a client diagnosed with leukemia who has just completed a course of radiation therapy and chemotherapy in preparation for a bone marrow transplant. The nurse notices that the client is febrile, has foul smelling urine, and is complaining of urinary frequency and dysuria. What is the priority nursing action?
Correct answer
B
Rationale
Obtaining vital signs and a urine specimen is the priority to assess for infection (e.g., UTI) and guide treatment in an immunocompromised client.