A registered nurse delegates a bed bath to unlicensed assistive personnel for a stable client. During the bath, the client says, "I feel short of breath." What is the most appropriate action by the unlicensed assistive personnel?
Correct answer: C. Stop the activity and report the symptom immediately
- A. Finish the bath before reporting the symptom
- B. Give the client a prescribed rescue medication
- C. Stop the activity and report the symptom immediately
- D. Record the symptom after completing the assigned care
Explanation
The unlicensed worker should stop the activity and promptly report a new symptom to the RN. Assessment and medication decisions require licensed nursing judgment and cannot be delegated to UAP.
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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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