Ethics, legal nursing, delegation, prioritization · practice question
A 64-year-old client on a medical-surgical unit is being evaluated for nursing care related to scope of practice. Assessment data include new chest pain rated 8/10 with diaphoresis. Which finding requires the nurse to intervene immediately?
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Answer and explanation
Correct answer
B. The new finding that new chest pain rated 8/10 with diaphoresis.
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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