Nursing fundamentals · practice question
An 82-year-old client on a medical-surgical unit is being evaluated for postoperative monitoring. 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
Answer and explanation
Correct answer
A. 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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