Which nursing action does the RN delegate to unlicensed assistive personnel (UAP) who are assisting with the care of a female client with anemia?
A. Asking the client about the amount of blood loss with each menstrual period
B. Checking for sternal tenderness while applying fingertip pressure
C. Determining the respiratory rate before and after the client walks 20 feet
D. Monitoring her oral mucosa for pallor, bleeding, or ulceration
Answer: C. Determining the respiratory rate before and after the client walks 20 feet
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A) Vitamin K B) Vitamin E C) Protamine sulfate D) Acetylsalicylic acid (Aspirin)
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A nurse transcribes a discharge order for the patient with left-sided weakness after having a stroke indicating to teach the patient to perform range-of-motion exercises on affected extremi-ties
The patient asks why she needs to do range-of-motion exercises. What is the nurse's best response? a. "Because the physician has ordered it." b. "You will regain full use of your arm and leg if you will do the exercises correctly." c. "They prevent the muscles and tendons from shortening and becoming unmova-ble." d. "It will give you something to do because you can't work anymore."
A client experiences an ectopic pregnancy following two episodes of PID. The nurse explains that the most likely reason for this occurrence is
a. delayed ovulation b. disturbances of the normal menstrual cycle c. rapid transport of the fertilized egg d. scar tissue in the fallopian tubes