Ethics, legal nursing, delegation, prioritization · practice question

A 58-year-old client on a telemetry unit is being evaluated for nursing care related to priority setting. Assessment data include provider order for a medication the client is allergic to on the chart. Which finding requires the nurse to intervene immediately?

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A stable, long-standing finding that matches the expected care plan.A comfort request with unchanged vital signs and no new symptoms.The new finding that provider order for a medication the client is allergic to on the chart.Routine data unchanged from the prior assessment.

Answer and explanation

Correct answer

C. The new finding that provider order for a medication the client is allergic to on the chart.

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 58-year-old client on a telemetry unit is being evaluated for nursing care related to priority setting. Assessment data include provider order for a medication the client is allergic to on the chart. Which finding requires the nurse to intervene immediately?

Correct answer

Why

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