Chemistry or biochemistry basics · practice question

A 59-year-old client in the intensive care unit is being evaluated for nursing care related to oxidation and cellular energy. Assessment data include vital signs change from earlier: blood pressure 94/60 mm Hg and heart rate 112/min. Which assessment approach should the nurse use first?

Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026chemistry-biochemistry

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

Answer and explanation

Correct answer

D. 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 oxidation and cellular energy. Assessment data include vital signs change from earlier: blood pressure 94/60 mm Hg and heart rate 112/min. Which assessment approach should the nurse use first?

Correct answer

Why

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