A patient is admitted with hypotension, shortness of breath, flushing, and hives. All levels of staff have been trained to assess vital signs
Given budget restrictions and proper delegation rules, to which care provider would the RN delegate the task of obtaining the initial blood pressure reading?
a. RN
b. LPN/LVN
c. Unlicensed assistive personnel (UAP)
d. Use the blood pressure obtained in the ambulance, because it was assessed via electronic monitoring.
ANS: A
Correct: The patient's condition is not stable; therefore, the skills of an RN are required.
Incorrect:
b. The assessment expertise of an RN is needed because of the unstable nature of the patient's condition.
c. Obtaining a baseline set of vital signs for an unstable patient would be considered high-risk delegation for a UAP.
d. The patient's condition is very dynamic; assessments will have to be completed by the RN on admission and then as indicated by the stability of the patient.
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