A registered nurse is supervising a licensed practical nurse caring for a stable client. The licensed practical nurse reports that the client has become newly confused. What should the registered nurse do first?
Correct answer: B. Assess the client and determine the cause of the confusion
- A. Ask the licensed practical nurse to document the change
- B. Assess the client and determine the cause of the confusion
- C. Delegate neurological observations to unlicensed personnel
- D. Wait until the next scheduled round to reassess the client
Explanation
New confusion is an unexpected change that requires prompt assessment by the registered nurse. Documentation and delegated observations may follow the assessment, but delaying evaluation could miss deterioration.
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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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