Level: Foundational
Difficulty: Easy
Subtopic: Analyze cues
NCLEX: The RN is caring for a stable client who needs routine assistance related to nursing care related to analyze cues…
Clinical judgment / Next Gen NCLEX case studies Clinical Judgment
Case Study
The RN is caring for a stable client who needs routine assistance related to nursing care related to analyze cues. 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.