A registered nurse is supervising an unlicensed assistive person who is helping a client use a bedside commode. The client suddenly becomes pale and unsteady. Which instruction should the nurse give?
Correct answer: C. Support the client safely and call the nurse
- A. Help the client walk back to the bed quickly
- B. Leave the client briefly to obtain a wheelchair
- C. Support the client safely and call the nurse
- D. Ask the client to continue while holding the rail
Explanation
The client may be experiencing instability or syncope, so the delegatee should protect the client from falling and summon the nurse. Continuing ambulation or leaving the client unattended increases the risk of injury.
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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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