Informatics and healthcare technology · practice question

The telehealth nurse during a virtual follow-up visit is being evaluated for technology-supported nursing care and alarm safety. Assessment data include a smart pump hard stop appears for an infusion rate outside the safe range. Which nursing action should the nurse take first?

Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026informatics-healthcare-technology

Document the client as stable without reassessment.Implement the final step of the care plan before assessing the client.Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.Administer the next scheduled intervention before reassessing the client.

Answer and explanation

Correct answer

C. Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.

Why

First-action questions on the NCLEX require assessment and safety before treatment, documentation alone, or delegation of nursing judgment.

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The telehealth nurse during a virtual follow-up visit is being evaluated for technology-supported nursing care and alarm safety. Assessment data include a smart pump hard stop appears for an infusion rate outside the safe range. Which nursing action should the nurse take first?

Correct answer

Why

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