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Ethics, legal nursing, delegation, prioritization · practice question

A 58-year-old client on a telemetry unit is being evaluated for nursing care related to justice and fairness. Assessment data include UAP reports the client fell in the bathroom. Which finding requires the nurse to intervene immediately?

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Answer and explanation

Correct answer

C. The new finding that UAP reports the client fell in the bathroom.

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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