Florida Nursing Assistant Competency Pracrice Exam

What is a key sign that indicates the nurse does not need to follow up immediately with a client?

1. The client is alert and responsive

2. The client has stable vitals

3. The client has normal urine output

4. All of the above

The correct answer is: All of the above

A key sign indicating that a nurse does not need to follow up immediately with a client includes the observation that the client is alert and responsive. This means the client is conscious, aware of their surroundings, and able to communicate, which suggests a stable cognitive state. Additionally, if the client has stable vital signs—such as a normal heart rate, blood pressure, and respiratory rate—this demonstrates that the physiological functions are within the expected ranges, indicating no immediate concerns that would warrant urgent intervention. Furthermore, normal urine output is also an important indicator of adequate kidney function and hydration status, further suggesting stability in the client's condition. When possessing these signs—alertness, stable vitals, and normal urine output—nurses can assess the situation as stable, allowing them to prioritize their tasks and focus on clients who need more immediate care. Therefore, identifying that all these indicators align provides a comprehensive assurance that immediate follow-up is not required.