A registered nurse asks a nursing assistant to feed a client after a stroke. Before delegating this task, which finding requires the nurse to assess the client personally?
Correct answer: C. The client coughs during meals
- A. The client prefers to eat in a chair
- B. The client needs food cut into small pieces
- C. The client coughs during meals
- D. The client uses a weighted spoon
Explanation
Coughing during meals may indicate dysphagia and a risk of aspiration. The registered nurse must assess swallowing safety before assigning feeding, while the other findings describe routine assistance needs.
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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.
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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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