A nurse is assessing a client’s understanding of their medication regimen. The client nods in agreement but does not respond verbally. What is the nurse’s best action?

Choice A rationale
Providing the instructions in an audio format is a suitable solution for clients who are unable to read. It ensures they can understand and follow the medication instructions accurately.
Choice B rationale
Ensuring the client has someone to assist with reading the instructions is helpful but not always reliable. The client may not always have someone available to assist them.
Choice C rationale
Using larger print for the instructions can help, but it may not be sufficient for clients with severe visual impairments.
Choice D rationale
Teaching the client to use a magnifying glass is a practical solution, but it may not be as effective as providing audio instructions, especially if the client has difficulty using the magnifying glass.

Choice A rationale
Calculating intake and output for the unit is a task that can be delegated to an LVN or UAP. It does not require the advanced clinical judgment and skills of an RN.
Choice B rationale
Inserting an NGT (nasogastric tube) for a client who is unable to eat is a task that can be performed by an LVN under the supervision of an RN. While it requires skill, it does not necessarily require the advanced clinical judgment of an RN.
Choice C rationale
Reinforcing teaching with a patient who is learning to walk with a quad cane can be done by an LVN or UAP. This task involves providing support and encouragement, but it does not require the advanced clinical judgment of an RN.
Choice D rationale
An unstable client complaining of feeling faint requires the advanced clinical judgment and skills of an RN. The RN is best equipped to assess the client’s condition, identify potential causes of instability, and implement appropriate interventions to stabilize the client.