Which action could the nurse delegate to unlicensed assistive personnel (UAP) trained as electrocardiogram (ECG) technicians working on the cardiac unit?
a. Select the best lead for monitoring a patient with an admission diagnosis of Dressler syndrome.
b. Obtain a list of herbal medications used at home while admitting a new patient with pericarditis.
c. Teach about the need to monitor the weight daily for a patient who has hypertrophic cardiomyopathy.
d. Check the heart monitor for changes in rhythm while a patient who had a valve replacement ambulates.
ANS: D
Under the supervision of registered nurses (RNs), UAP check the patient's cardiac monitor and obtain information about changes in heart rate and rhythm with exercise. Teaching and obtaining information about home medications (prescribed or complementary) and selecting the best leads for monitoring patients require more critical thinking and should be done by the RN.
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