A licensed practical nurse reports that a client has a new area of redness over the sacrum. What should the registered nurse do first?
Correct answer: B. Assess the client's skin and determine the nursing response
- A. Ask the licensed practical nurse to apply a protective dressing
- B. Assess the client's skin and determine the nursing response
- C. Document that the licensed practical nurse completed the assessment
- D. Ask unlicensed assistive personnel to reposition the client hourly
Explanation
The registered nurse must assess a new clinical finding and determine the plan of care. Applying treatment or documenting a conclusion before assessment does not replace the RN's responsibility for nursing judgment.
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About Delegation and Assignment (NCLEX)
Delegation and assignment cover how the registered nurse allocates care according to patient stability, task complexity, staff competence and legal scope. The five rights of delegation, supervision, communication and follow-up are linked to the difference between an RN, LPN or LVN, and unlicensed assistive personnel, while accountability for overall nursing care remains with the RN.
Practise Delegation and Assignment (NCLEX)
50 free Delegation and Assignment (NCLEX) MCQs from International Nursing Practice, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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