Health assessment · practice question

A 66-year-old client in an outpatient clinic is being evaluated for cardiovascular assessment during hospitalization. Assessment data include the client tries to get out of bed unassisted and becomes unsteady. Which assessment approach should the nurse use first?

Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026health-assessment

Use only the chart from admission without current data.Begin invasive procedures before any focused assessment.Defer assessment until all medications are administered.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 66-year-old client in an outpatient clinic is being evaluated for cardiovascular assessment during hospitalization. Assessment data include the client tries to get out of bed unassisted and becomes unsteady. Which assessment approach should the nurse use first?

Correct answer

Why

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