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 priority setting. Assessment data include telephone order received for a high-risk IV medication. Using the clinical judgment model, what is the nurse's first step?
Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026ethics-legal-delegation-prioritization
Answer and explanation
Correct answer
D. Recognize and analyze relevant cues to determine whether the client is stable or deteriorating.
Why
NCSBN clinical judgment begins with recognizing and analyzing cues before taking action or evaluating outcomes.
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