Ethics, legal nursing, delegation, prioritization · practice question

A 39-year-old client in the emergency department is being evaluated for nursing care related to justice and fairness. Assessment data include provider order for a medication the client is allergic to on the chart. Which nursing action should the nurse take first?

Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026ethics-legal-delegation-prioritization

Document the client as stable without reassessment.Complete nonurgent tasks first because the client appears calm.Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.Implement the final step of the care plan before assessing the client.

Answer and explanation

Correct answer

C. Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.

Why

First-action questions on the NCLEX require assessment and safety before treatment, documentation alone, or delegation of nursing judgment.

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A 39-year-old client in the emergency department is being evaluated for nursing care related to justice and fairness. Assessment data include provider order for a medication the client is allergic to on the chart. Which nursing action should the nurse take first?

Correct answer

Why

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