A registered nurse is caring for a client who returned from surgery two hours ago. The client reports increasing pain despite prescribed analgesia. Which action should the nurse take?
Correct answer: C. Assess the client and notify the provider as indicated
- A. Ask the nursing assistant to reassess the pain later
- B. Assign the licensed practical nurse to determine the cause
- C. Assess the client and notify the provider as indicated
- D. Delegate administration of the analgesic to the nursing assistant
Explanation
New or worsening pain after surgery requires assessment by the registered nurse before further treatment decisions are made. Assessment, clinical judgement, and evaluation cannot be delegated to unlicensed personnel.
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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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