Which nursing action can the registered nurse (RN) delegate to experienced unlicensed assistive personnel (UAP) working as a telemetry technician on the cardiac care unit?
a. Decide whether a patient's heart rate of 116 requires urgent treatment.
b. Monitor a patient's level of consciousness during synchronized cardioversion.
c. Observe cardiac rhythms for multiple patients who have telemetry monitoring.
d. Select the best lead for monitoring a patient admitted with acute coronary syndrome.
ANS: C
UAP serving as telemetry technicians can monitor cardiac rhythms for individuals or groups of patients. Nursing actions such as assessment and choice of the most appropriate lead based on ST segment elevation location require RN-level education and scope of practice.
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