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    Hesi RN Exit Proctored ExamQuestion 54
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    Hesi RN Exit Proctored Exam

    The nurse enters a client's room to administer oral medications and finds an unlicensed assistive personnel (UAP) providing personal care to the client, whose condition has obviously deteriorated. The client is lying in a supine position and is weak, pale, and diaphoretic. Which is the priority nursing action?

    Explanation & Rationale

    A. The priority is to immediately intervene in the care being provided by the UAP and assess the client's condition to ensure prompt intervention if necessary. B. While educating the UAP is important, immediate assessment and intervention for the client take precedence. C. Investigating the reason for the UAP's actions can wait until after the client's condition has been assessed and stabilized. D. Administering oral medications can wait until after the client's condition has been assessed and stabilized.

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