Basic Care and Comfort Practice Question

Question

The nurse is caring for an older adult with weakness and is focused on assistive devices scenario 9. 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. Teach safe use and verify the device is fitted correctly.
  4. D. Document the concern without notifying the appropriate provider or care team member when escalation is needed.

Correct Answer

C. Teach safe use and verify the device is fitted correctly.

Explanation

The priority action for assistive devices is to teach safe use and verify the device is fitted correctly. NCLEX-style prioritization favors safety, assessment, appropriate delegation, timely escalation, and client-centered teaching.

Question details

  • Difficulty: medium
  • Domain: Basic Care and Comfort
  • Objective: assistive devices

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