A registered nurse is supervising a licensed practical nurse caring for a stable client. The licensed practical nurse asks whether to hold a prescribed medication because the client's pulse is below the ordered parameter. What should the registered nurse do?
Correct answer: C. Review the client, order, and assessment before giving direction
- A. Tell the practical nurse to give the medication as scheduled
- B. Ask unlicensed assistive personnel to decide whether it is safe
- C. Review the client, order, and assessment before giving direction
- D. Tell the practical nurse to document the dose as refused
Explanation
The RN should review the assessment and prescription, then provide direction based on the ordered parameter and client condition. Giving the medication automatically or documenting a false refusal bypasses safe clinical 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.
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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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