Nutrition · practice question
A 58-year-old client after a stroke is being evaluated for nursing care related to vitamins and minerals. Assessment data include the client has heart failure, 2+ edema, and a 2 kg weight gain in 24 hours. Which assessment approach should the nurse use first?
Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026nutrition
Answer and explanation
Correct answer
B. 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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