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Older adults should never stop medications without consulting a provider. Options A, B, and D are correct practices. This falls under Health Promotion and Maintenance—Geriatric Care. NCLEX emphasizes teaching older adults about preventive care, adherence to medications, and strategies to maintain independence and safety.

Nurses are mandated reporters. The priority is to document findings objectively and report to protective services. Options A, C, and D delay or violate confidentiality. This falls under Safe and Effective Care Environment—Legal and Ethical Practice. NCLEX emphasizes advocacy and legal obligations to protect vulnerable adults.

These are signs of an acute hemolytic transfusion reaction. The transfusion must be stopped immediately to prevent further harm. Options B and C delay intervention. Option D may be appropriate after stopping the transfusion. This falls under Physiological Integrity—Reduction of Risk Potential. NCLEX emphasizes stopping the source of harm first.

These are signs of a possible transfusion reaction. The transfusion must be stopped immediately to prevent further harm. Options B and C are unsafe. Option D delays urgent intervention. This falls under Physiological Integrity—Reduction of Risk Potential. NCLEX emphasizes immediate action in transfusion reactions.

Severe hypoxemia requires immediate oxygen therapy. Option B follows after intervention. Option C is supportive but not urgent. Option D delays treatment. This falls under Physiological Integrity—Basic Care and Comfort. NCLEX prioritization emphasizes ABCs (Airway, Breathing, Circulation) with hypoxemia as an urgent finding.