Nursing fundamentals · practice question

An 82-year-old client on a medical-surgical unit is being evaluated for new admission assessment. Assessment data include pressure injury stage 2 noted on the coccyx with unchanged dressing. Which assessment approach should the nurse use first?

Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026nursing-fundamentals

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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An 82-year-old client on a medical-surgical unit is being evaluated for new admission assessment. Assessment data include pressure injury stage 2 noted on the coccyx with unchanged dressing. Which assessment approach should the nurse use first?

Correct answer

Why

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