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[Verified Answer]: The nurse observes an unlicensed assistive…

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The nurse observes an unlicensed assistive personnel (UP) setting up the breakfast tray for a client who is on aspiration precautions following a stroke and notices a carton of milk and glass of juice on the tray. After setting up the tray, the UP walks out of the client’s room. Which action should the nurse implement first? A Verify the consistency of fluids on the prescribed diet. B Reprimand the UP for leaving the client alone for breakfast. C Report the UAP’s actions to the nurse manager. D Document the client’s oral intake in the electronic health record.

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