A registered nurse delegates care to an unlicensed assistive person for a client on a prescribed fluid restriction. Which instruction is most important?
Correct answer: B. Record all oral fluids and report the measured total
- A. Offer fluids whenever the client requests them
- B. Record all oral fluids and report the measured total
- C. Allow the client to choose drinks without measuring them
- D. Remove the fluid restriction during personal care
Explanation
Accurate measurement and reporting of all oral fluids support safe care for a client with a fluid restriction. The registered nurse remains responsible for interpreting the total and managing the plan of care.
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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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