Anatomy & Physiology I/II · practice question

A 59-year-old client in the intensive care unit is being evaluated for nursing care related to endocrine regulation. Assessment data include the nurse notes an unexpected finding during routine assessment. Which assessment approach should the nurse use first?

Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026anatomy-physiology

Use only the chart from admission without current data.Defer assessment until all medications are administered.Screen for instability, then perform a focused assessment related to the presenting concern.Begin invasive procedures before any focused assessment.

Answer and explanation

Correct answer

C. 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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A 59-year-old client in the intensive care unit is being evaluated for nursing care related to endocrine regulation. Assessment data include the nurse notes an unexpected finding during routine assessment. Which assessment approach should the nurse use first?

Correct answer

Why

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