NCLEX-PN® ExaminationCoordinated CareMedium
An LPN is supervising a nursing assistant (NA) who is providing hygiene care for a client with a history of falls. The LPN observes the NA leaving the client unattended in the shower. What is the LPN's most appropriate immediate action?
- AInstruct the NA from the doorway to stay with the client.
- BAllow the NA to complete care, then review fall prevention protocols.
- CImmediately intervene and assist the client, then speak with the NA privately.
- DDocument the incident and report it to the charge nurse.
Show answer & explanationAnswer & explanation
Correct answer: C. Immediately intervene and assist the client, then speak with the NA privately.
The client is at immediate risk of falling when left unattended, especially with a history of falls. The LPN's priority is client safety, requiring immediate intervention to prevent harm. After ensuring client safety, the LPN should address the NA's performance privately.
Why the other options are wrong
- A. Instructing from a distance may not be sufficient to ensure immediate client safety if a fall occurs during the delay.
- B. Allowing the NA to complete care puts the client at continued risk; immediate intervention is required.
- D. Documentation and reporting are necessary but do not address the immediate safety risk to the client.
Supervision: Immediate Safety Intervention
When supervising unlicensed assistive personnel (UAP), the LPN's primary responsibility is to ensure client safety. If an unsafe action is observed, immediate intervention is required, followed by appropriate education or reporting.
- Client safety is always the top priority.
- LPNs have a responsibility to supervise and correct unsafe practices.
- Immediate intervention prevents harm; subsequent action addresses performance.
Memory trick: Safety first, then teach; client's well-being is the ultimate reach.