Level: Foundational
Difficulty: Easy
Subtopic: Neurologic assessment
NCLEX: A 49-year-old client in the emergency department is being evaluated for neurologic assessment during hospitalizat…
Health assessment Reduction of Risk Potential
Case Study
A 49-year-old client in the emergency department is being evaluated for neurologic assessment during hospitalization. Assessment data include temperature 100.8°F (38.2°C) with rigors and chills. Which action is appropriate within the RN scope of practice?
Question
A. Independently diagnose the medical disease and prescribe treatment.
B. Prescribe new medications without a provider order.
C. Delegate nursing assessment and evaluation on an unstable client.
D. Assess, analyze cues, implement nursing interventions per orders, teach, evaluate outcomes, and question unsafe orders.
B. Prescribe new medications without a provider order.
C. Delegate nursing assessment and evaluation on an unstable client.
D. Assess, analyze cues, implement nursing interventions per orders, teach, evaluate outcomes, and question unsafe orders.
Rationale
Correct answer: D. Assess, analyze cues, implement nursing interventions per orders, teach, evaluate outcomes, and question unsafe orders.
Rationale: RNs assess, coordinate care, teach, and evaluate. Diagnosis and prescribing are provider responsibilities.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.
Rationale: RNs assess, coordinate care, teach, and evaluate. Diagnosis and prescribing are provider responsibilities.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.