Difficulty: Medium
Average Score: 68%
Simulated
The nurse is caring for assigned clients. The nurse should initially follow-up on the client who
Correct answer
D
Rationale
Confusion in diabetes insipidus (D) suggests electrolyte imbalance or dehydration, a critical issue requiring immediate follow-up. Chronic pain with crying (A), pneumonia cough (B), and post-colostomy stoma (C) are less urgent, as they are expected or stable.