The RN is admitting a client to a medical unit. The nurse delegates the measurement of the vital signs to unlicensed assistive personnel (UAP) while she collects data
After completing the admission process the client complains of a severe headache, so the nurse reassesses the vital signs to find the patient's blood pressure extremely elevated. Whose responsibility is the accuracy of the blood pressure measurement?
A) the company that made the blood pressure equipment
B) the nurse
C) the UAP
D) the charge nurse
Ans: B
Feedback:
While the nurse may delegate duties to UAP, the professional RN is ultimately responsible for the completeness and accuracy of the information. Since this was part of the admission assessment it would be advisable for the nurse to have measured the vital signs herself.
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