The RN needs vital signs assessed for four clients. Which client should the nurse address and not assign to the UAP?

Question

1. Cardiac catheterization client returning to the nursing unit
2. COPD client on 2 Lpm oxygen via nasal cannula
3. Pneumonia client nearing discharge
4. Post-op client of 2 days from gallbladder surgery

Answer 1

Correct Answer: 1
Rationale 1: The cardiac catheterization client will need a thorough assessment since she is just returning to the nursing unit. Invasive procedures, such as a catheterization, will need to be closely assessed. More than likely a Doppler will be needed to ensure the pedal pulse is present and stable in the extremity used during the procedure. Unlicensed personnel are not usually delegated Doppler ultrasound device use.
Rationale 2: The COPD client is a chronic condition client, and her vital signs would be considered routine.
Rationale 3: The client with pneumonia nearing discharge would be considered medically stable. Therefore, this client is within the UAP's capability.
Rationale 4: The client who is 2 days post-op from gallbladder surgery would be considered medically stable. Therefore, this client is within the UAP's capability.