Basic Care and Comfort Practice Question

Question

The nurse is caring for a client needing feeding assistance and is focused on range of motion scenario 6. 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. Support prescribed movement to prevent contractures and maintain function.
4. D. Document the concern without notifying the appropriate provider or care team member when escalation is needed.

Correct Answer

C. Support prescribed movement to prevent contractures and maintain function.

Explanation

The priority action for range of motion is to support prescribed movement to prevent contractures and maintain function. NCLEX-style prioritization favors safety, assessment, appropriate delegation, timely escalation, and client-centered teaching.

Question details

• Difficulty: medium
• Domain: Basic Care and Comfort
• Objective: range of motion

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