Basic Care and Comfort Practice Question

Question

The nurse is caring for a client recovering from surgery and is focused on sensory aids scenario 4. Which nursing action is most appropriate?

Answer choices

1. A. Delay assessment until the next scheduled round if the client is not calling for help.
2. B. Delegate the clinical assessment and nursing judgment to assistive personnel.
3. C. Document the concern without notifying the appropriate provider or care team member when escalation is needed.
4. D. Keep glasses, hearing aids, and communication tools accessible.

Correct Answer

D. Keep glasses, hearing aids, and communication tools accessible.

Explanation

The priority action for sensory aids is to keep glasses, hearing aids, and communication tools accessible. NCLEX-style prioritization favors safety, assessment, appropriate delegation, timely escalation, and client-centered teaching.

Question details

• Difficulty: hard
• Domain: Basic Care and Comfort
• Objective: sensory aids

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