Adult health / medical-surgical nursing · practice question
A 59-year-old client in the intensive care unit is being evaluated for chronic kidney disease with fluid overload. Assessment data include bilateral calf pain with redness and warmth after bedrest. Which assessment approach should the nurse use first?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026adult-health-med-surg
Answer and explanation
Correct answer
A. Screen for instability, then perform a focused assessment related to the presenting concern.
Why
Assessment begins with stability screening and focused data collection before invasive or delayed actions.
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