Ethics, legal nursing, delegation, prioritization · practice question

A 39-year-old client in the emergency department is being evaluated for nursing care related to advance directives. Assessment data include telephone order received for a high-risk IV medication. Which finding requires the nurse to intervene immediately?

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A stable, long-standing finding that matches the expected care plan.Routine data unchanged from the prior assessment.A comfort request with unchanged vital signs and no new symptoms.The new finding that telephone order received for a high-risk IV medication.

Answer and explanation

Correct answer

D. The new finding that telephone order received for a high-risk IV medication.

Why

Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.

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A 39-year-old client in the emergency department is being evaluated for nursing care related to advance directives. Assessment data include telephone order received for a high-risk IV medication. Which finding requires the nurse to intervene immediately?

Correct answer

Why

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