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 confidentiality and hipaa. Assessment data include UAP reports the client fell in the bathroom. Which finding requires the nurse to intervene immediately?
Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026ethics-legal-delegation-prioritization
Answer and explanation
Correct answer
D. 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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