Clinical judgment / Next Gen NCLEX case studies · practice question

A client in an unfolding case study is being evaluated for nursing care related to generate solutions. Assessment data include the medication record, labs, and assessment notes contain conflicting cues. Which assessment approach should the nurse use first?

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Defer assessment until all medications are administered.Use only the chart from admission without current data.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 client in an unfolding case study is being evaluated for nursing care related to generate solutions. Assessment data include the medication record, labs, and assessment notes contain conflicting cues. Which assessment approach should the nurse use first?

Correct answer

Why

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