Pediatric nursing · practice question
An 8-year-old child in the pediatric unit is being evaluated for family presence during hospitalization. Assessment data include parents report decreased wet diapers and lethargy over 24 hours. Which assessment approach should the nurse use first?
Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026pediatric-nursing
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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