Pathophysiology · practice question
A 59-year-old client in the intensive care unit is being evaluated for nursing care related to neurologic injury. Assessment data include bilateral calf pain with redness and warmth after bedrest. Which assessment approach should the nurse use first?
Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026pathophysiology
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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