Pathophysiology · practice question

A 59-year-old client in the intensive care unit is being evaluated for nursing care related to inflammation and cellular injury. Assessment data include hemoglobin 6.8 g/dL with pallor and hypotension 90/55 mm Hg. Which assessment approach should the nurse use first?

Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026pathophysiology

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

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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A 59-year-old client in the intensive care unit is being evaluated for nursing care related to inflammation and cellular injury. Assessment data include hemoglobin 6.8 g/dL with pallor and hypotension 90/55 mm Hg. Which assessment approach should the nurse use first?

Correct answer

Why

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