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 UAP reports the client fell in the bathroom. Which assessment approach should the nurse use first?
Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026ethics-legal-delegation-prioritization
Answer and explanation
Correct answer
D. Screen for instability, then perform a focused assessment related to the presenting concern.
Why
Assessment begins with stability screening and focused data collection before invasive or delayed actions.
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