Anatomy & Physiology I/II · practice question

A 59-year-old client in the intensive care unit is being evaluated for nursing care related to immune and inflammatory response. Assessment data include laboratory results return outside the expected range for this condition. Which assessment approach should the nurse use first?

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

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

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 immune and inflammatory response. Assessment data include laboratory results return outside the expected range for this condition. Which assessment approach should the nurse use first?

Correct answer

Why

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