The registered nurse (RN) is caring for a patient with a hypertensive crisis who is receiving sodium nitroprusside (Nipride). Which nursing action can the nurse delegate to an experienced licensed practical/vocational nurse (LPN/LVN)?
a. Titrate nitroprusside to decrease mean arterial pressure (MAP) to 115 mm Hg.
b. Evaluate effectiveness of nitroprusside therapy on blood pressure (BP).
c. Set up the automatic blood pressure machine to take BP every 15 minutes.
d. Assess the patient's environment for adverse stimuli that might increase BP.
ANS: C
LPN/LVN education and scope of practice include the correct use of common equipment such as automatic blood pressure machines. The other actions require advanced nursing judgment and education, and should be done by RNs.
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