Health assessment · practice question

A 74-year-old client on a medical-surgical unit is being evaluated for abdominal assessment during hospitalization. Assessment data include pressure injury stage 2 noted on the coccyx with unchanged dressing. Which finding requires the nurse to intervene immediately?

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

A comfort request with unchanged vital signs and no new symptoms.Routine data unchanged from the prior assessment.The new finding that pressure injury stage 2 noted on the coccyx with unchanged dressing.A stable, long-standing finding that matches the expected care plan.

Answer and explanation

Correct answer

C. The new finding that pressure injury stage 2 noted on the coccyx with unchanged dressing.

Why

Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.

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A 74-year-old client on a medical-surgical unit is being evaluated for abdominal assessment during hospitalization. Assessment data include pressure injury stage 2 noted on the coccyx with unchanged dressing. Which finding requires the nurse to intervene immediately?

Correct answer

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