A registered nurse is supervising an unlicensed assistive person who is helping a stable client transfer to a chair. The assistant reports that the client suddenly cannot bear weight on one leg. What should the registered nurse do first?
Correct answer: B. Assess the client's strength, circulation, and neurologic status
- A. Ask the assistant to return the client to bed without help
- B. Assess the client's strength, circulation, and neurologic status
- C. Document the event after the transfer is completed
- D. Arrange routine physiotherapy assessment for later
Explanation
Sudden inability to bear weight is a change in condition requiring prompt registered nurse assessment. The nurse should assess the client before deciding whether further treatment or escalation is needed.
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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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