The nurse admits a client a two hours after a total knee replacement to the orthopedic unit with the help of a UAP. Which does the nurse delegate to the UAP?
1. Reconcile the client's medication list.
2. #client about pain characteristics.
3. Monitor drainage on the surgical dressing.
4. Position the client on the side for comfort.
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4. The nurse delegates positioning the client because the UAP receives education and training in turning clients; however, the nurse does not delegate therapeutic position-ing such as elevating the leg after surgery to promote venous return. The nurse su-pervises positioning the leg because the supportive equipment must be placed properly to support the upper and lower leg to relieve tension on the knee joint.
1. The nurse must reconcile the medication list because data gathering and assessing are nursing actions specified in the nursing process, and verifying the provider's pre-scription is mandated by the Nurse Practice Act.
2. The UAP can relay a request for pain medication from the client to the nurse; however, the nurse assesses the client for pain before administering an analgesic be-cause the nurse must determine the need for pain medication and the nurse must ful-fill all aspects of the nursing process, including assessment.
3. The nurse monitors client drainage because this is, also, a nursing duty covered by the nursing process.
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The nurse is checking a patient's blood pressure before administering an antihypertensive, and gets a reading of 88/52 mm Hg. What is the nurse's best action?
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Which assessment finding for a toddler-age child in balanced Bryant traction for a fractured right femur would require immediate action by the nurse?
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