The nurse is delegating taking vital signs to an unlicensed assistive personnel (UAP). What instructions does the nurse provide the UAP? (Select all that apply.)
a. "Let me know if Mr. Smith's blood pressure is low."
b. "Take Mrs. Jones' blood pressure every 15 minutes."
c. "Call me if Ms. Walsh's systolic blood pressure drops to under 100 mm Hg."
d. "Do you want me to demonstrate using the electronic blood pressure cuff?"
e. "I'll take Mr. Derby's blood pressure since he is not stable."
ANS: B, C, D, E
The nurse can delegate measuring vital signs to UAPs if the patient is stable. The nurse must ensure the UAP knows the proper technique for taking vital signs and knows which readings must be reported. Telling the UAP to report a blood pressure that is "too low" is too vague.
You might also like to view...
Fat is necessary for the absorption and use of which of the following vitamins?
a. Vitamin A b. Vitamin D c. Vitamin C d. Vitamins A and D
In the prediction "Baccalaureate degree–prepared nurses will practice more rehabilitative nursing measures on a client in an ICU than will associate degree–prepared nurses," the independent variable is:
A) Associate degree–prepared nurses B) Baccalaureate degree–prepared nurses C) Rehabilitative nursing measures D) Type of educational background of nurse
A patient receiving nedocromil (Tilade) asks how this drug will help control a respiratory condi-tion. Which of the following responses would be most appropriate for the health care provider to give the patient?
a. It is a beta agonist that causes bronchodilation. b. It stabilizes mast cells to block reaction to allergens. c. It is a corticosteroid that suppresses the immune response. d. It increases the diameter of the bronchioles.
The perinatal nurse observes Lindy, a 21-year-old, G1 TPAL 0000 woman who is entering the transition phase of labor. Lindy has been using a patterned breathing method to cope with the increasing strength of contractions
She complains of lightheadedness and tingling in her fingers. The perinatal nurse's most appropriate intervention is to: A) Assist Lindy back to bed and encourage her to lie on her left side B) Assist Lindy with putting her head between her knees C) Assist Lindy with cupping her hands and breathing into them D) Assist Lindy to breathe more slowly and to take a cleansing breath