Nursing fundamentals · practice question

An 82-year-old client on a medical-surgical unit is being evaluated for nursing care related to documentation fundamentals. Assessment data include pain 9/10 and guards the abdomen after surgery. Which assessment approach should the nurse use first?

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

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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An 82-year-old client on a medical-surgical unit is being evaluated for nursing care related to documentation fundamentals. Assessment data include pain 9/10 and guards the abdomen after surgery. Which assessment approach should the nurse use first?

Correct answer

Why

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