For Unexpected Findings, the recommended action is to

• A. Disregard unless critical
• B. Consult the physician
• C. Document and ignore
• D. Identify relevant assessment findings

Answer: (D)

When something unexpected shows up during an assessment, the key step is to identify which findings are relevant and meaningful. That means reviewing the data, distinguishing normal variations from true abnormalities, comparing with the patient’s baseline, and judging the significance and urgency. This clarification guides what to report, how to prioritize care, and whether immediate action, monitoring, or escalation is needed. Without identifying the relevant findings first, actions can be misdirected or delayed.

Disregarding unexpected data risks missing a serious change in condition. Simply documenting and ignoring isn’t appropriate because it leaves the issue unresolved and could lead to unsafe outcomes. Consulting the physician is important, but it’s most effective after you’ve clarified what findings are relevant, so your communication is precise and actionable.