Nutrition · practice question

A 79-year-old client on a medical-surgical unit is being evaluated for nursing care related to dysphagia and aspiration risk. Assessment data include the client has 6% unintentional weight loss in 1 month and albumin 2.8 g/dL. Which assessment approach should the nurse use first?

Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026nutrition

Defer assessment until all medications are administered.Begin invasive procedures before any focused assessment.Screen for instability, then perform a focused assessment related to the presenting concern.Use only the chart from admission without current data.

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 79-year-old client on a medical-surgical unit is being evaluated for nursing care related to dysphagia and aspiration risk. Assessment data include the client has 6% unintentional weight loss in 1 month and albumin 2.8 g/dL. Which assessment approach should the nurse use first?

Correct answer

Why

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