Pathophysiology · practice question

A 59-year-old client in the intensive care unit is being evaluated for nursing care related to renal impairment. Assessment data include the client reports worst headache of life with neck stiffness. Which assessment approach should the nurse use first?

Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026pathophysiology

Defer assessment until all medications are administered.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.

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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A 59-year-old client in the intensive care unit is being evaluated for nursing care related to renal impairment. Assessment data include the client reports worst headache of life with neck stiffness. Which assessment approach should the nurse use first?

Correct answer

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