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NCLEX · Delegation and Assignment

A charge nurse is making client assignments. Which client should be assigned to the most experienced registered nurse?

Correct answer

An unstable client requiring frequent assessment and complex care

  1. A A stable client awaiting discharge
  2. B An unstable client requiring frequent assessment and complex care
  3. C A client needing assistance with morning hygiene
  4. D A client with stable chronic conditions

Why this is the answer

The MOST EXPERIENCED/skilled RN should be assigned the UNSTABLE client requiring frequent assessment, complex care, and clinical judgment — because this client has the greatest risk and the most unpredictable needs. NCLEX safe care/management of care. PRINCIPLE: match the acuity and complexity of the client to the competency of the caregiver — the sickest, least stable, most complex clients go to the most qualified nurses; stable, predictable clients (awaiting discharge, stable chronic conditions, needing routine care) can be assigned to less experienced staff or have aspects delegated to UAP. Appropriate assignment based on client acuity and staff competency protects client safety and is a tested NCLEX delegation/assignment concept.
Source: NCLEX Safe Care — Client Assignment by Acuity

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