Health assessment · practice question

A 74-year-old client on a medical-surgical unit is being evaluated for neurologic 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 choiceEasynclex-rn-bsnnclex-validatednclex-2026health-assessment

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 74-year-old client on a medical-surgical unit is being evaluated for neurologic 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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