Level: Clinical
Difficulty: Medium
Subtopic: Neurologic control and level of consciousness
NCLEX: The RN is caring for a stable client who needs routine assistance related to nursing care related to neurologic c…
Anatomy & Physiology I/II Physiological Adaptation
Case Study
The RN is caring for a stable client who needs routine assistance related to nursing care related to neurologic control and level of consciousness. Which task may be delegated to UAP?
Question
A. Initial nursing assessment for a new complication.
B. Teaching about complex medication changes before discharge.
C. Determining whether the client's symptoms require a change in the plan of care.
D. Ambulation with a gait belt after the RN assesses stability, gives clear directions, and remains available for questions.
B. Teaching about complex medication changes before discharge.
C. Determining whether the client's symptoms require a change in the plan of care.
D. Ambulation with a gait belt after the RN assesses stability, gives clear directions, and remains available for questions.
Rationale
Correct answer: D. Ambulation with a gait belt after the RN assesses stability, gives clear directions, and remains available for questions.
Rationale: Delegation requires a stable client, right task, clear directions, and supervision. Assessment, teaching, and nursing judgment remain RN responsibilities.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.
Rationale: Delegation requires a stable client, right task, clear directions, and supervision. Assessment, teaching, and nursing judgment remain RN responsibilities.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.