Even though a UAP is available to assist with vital sign assessment, the nurse is going to conduct these assessments himself on which clients?

1. Client complains of chest pain.
2. Client returning from surgery.
3. Prior to administering a medication that affects blood pressure.
4. Client complains of dizziness after ambulating.
5. Client being admitted to the care area.


Correct Answer: 1,2,3,4
Rationale 1: When a client reports symptoms such as chest pain, the nurse should conduct the assessment.
Rationale 2: When a client returns from surgery, the nurse should conduct the assessment.
Rationale 3: When the client is prescribed a medication that could affect the vital signs, the nurse should conduct the assessment.
Rationale 4: When the client reports symptoms such as dizziness after ambulation, the nurse should conduct the assessment.
Rationale 5: When the client is being admitted to a care area, the nurse could delegate the vital sign assessment to the UAP.

Nursing

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