The nurse is performing an assessment of the client's skin when the nurse notes that the client has become pale and diaphoretic.The client's vital signs have remained stable since the beginning of the examination: blood pressure 138/76,heart rate is 88 beats per minute,and respiratory rate is 18 breaths per minute.Which of the following actions should the nurse take first?

Question

Quizplus · Accepted Answer

Given the client's stable vital signs and the sudden onset of pallor and diaphoresis, the first action should be to assess for a potential cause that can be addressed immediately, such as anxiety or discomfort, which is why asking the client if they are feeling anxious is appropriate.

The Nurse Is Performing an Assessment of the Client's Skin