The nurse is caring for a client who had an esophagectomy 3 days ago and was extubated yesterday. What actions may the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
a. Assisting with position changes and getting out of bed
b. Keeping the head of the bed elevated to at least 30 degrees
c. Reminding the client to use the spirometer every 4 hours
d. Taking and recording vital signs per hospital protocol
e. Titrating oxygen based on the client's oxygen saturations
ANS: A, B, D
The UAP can assist with mobility, keep the head of the bed elevated, and take and record vital signs. The client needs to use the spirometer every 1 to 2 hours. The nurse titrates oxygen.
You might also like to view...
Modifiable risk factors for coronary artery disease include: (Select all that apply.)
a. weight. b. diet. c. genetics. d. exercise.
Anger is an emotion that nurses have to deal with in the workplace. Which of the following is not necessarily a primary reason for nurse workplace anger?
a. long hours c. demeaning treatment by staff b. unreasonable workload d. inadequate staffing
An example of community support for health promotion is
a. teaching a young mother safe food prepa-ration skills. b. watching a television show exposé about industry errors in food processing. c. labeling fresh poultry packages with in-formation about proper food storage. d. being aware that Salmonella can be spread because of inadequate food preparation skills.
A patient with hypertension and heart failure presents to the emergency department complaining of a headache. The vital signs are: BP 189/112, pulse 92, respiration 20, and temp 99° F
The nurse administers hydralazine (Apresoline) intravenously. Reassessment after administration of the drug reveals these vital signs: BP 135/84, pulse 124, respiration 18, temp 98.8° F. The nurse correctly interprets these results as a. rebound hypertension. b. reflex tachycardia. c. essential hypertension. d. postural hypotension.