An unlicensed assistive person reports that a client became dizzy while being helped out of bed. What is the registered nurse's priority action?
Correct answer: B. Assess the client's condition and obtain vital signs promptly
- A. Ask the assistant to return the client to bed and report later
- B. Assess the client's condition and obtain vital signs promptly
- C. Document the event after completing all scheduled medications
- D. Tell the assistant to continue ambulation more slowly
Explanation
Dizziness during ambulation may signal orthostatic hypotension or another acute problem, so the registered nurse must assess the client promptly. The nurse should not rely on the assistant to interpret or manage the change independently.
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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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