The nurse is delegating to the unlicensed assistive personnel (UAP). What is the best instruction by the nurse?
A) Notify me right away if the client's systolic blood pressure is 170 or greater.
B) Let me know if the client's blood pressure becomes elevated.
C) If the client's blood pressure falls outside normal limits, come get me.
D) I need to know if the client's blood pressure changes from his normal baseline.
Ans: A
When delegating tasks, it is essential for the nurse to give clear instructions to the person to whom the task is being delegated. The statement, which includes specific parameters for the systolic blood pressure, clearly identifies what the UAP should be alerted to and the subsequent action to take. The other three options are vague and do not provide adequate direction for the UAP.
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