An RN delegates the task of taking a newly admitted client's vital signs to a nurse's aide. The client's blood pressure was 182/98, but did not get reported to the physician for several hours
Who is responsible for the lapse in time between discovery and action?
1. Nurse manager
2. Aide
3. Client
4. RN
Correct Answer: 4
Rationale 1: The nurse manager did not delegate the task of vital signs and therefore is not responsible for the time lapse between discovery and action.
Rationale 2: The aide did not delegate the task of vital signs and therefore is not responsible for the time lapse between discovery and action.
Rationale 3: The client did not delegate the task of vital signs and therefore is not responsible for the time lapse between discovery and action.
Rationale 4: The RN is ultimately responsible for the action, for reporting it, and for following through on any action. Part of delegation is supervision and evaluation—ultimate responsibilities that belong to the RN.
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