Ethics, legal nursing, delegation, prioritization · practice question

A 58-year-old client on a telemetry unit is being evaluated for nursing care related to unsafe orders. Assessment data include provider order for a medication the client is allergic to on the chart. Which nursing action is the priority to keep the client safe?

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Apply the first intervention in the policy manual without a current assessment.Leave the client alone to promote independence while finishing charting.Stay with the client, remove immediate hazards, reassess, and escalate per facility safety protocol.Document the finding and recheck at the end of the shift without further assessment.

Answer and explanation

Correct answer

C. Stay with the client, remove immediate hazards, reassess, and escalate per facility safety protocol.

Why

Client safety requires direct assessment, hazard reduction, and timely escalation rather than assumptions, abandonment, or policy-only actions.

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A 58-year-old client on a telemetry unit is being evaluated for nursing care related to unsafe orders. Assessment data include provider order for a medication the client is allergic to on the chart. Which nursing action is the priority to keep the client safe?

Correct answer

Why

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