The nurse is caring for a team of four clients who are seriously ill. One of the clients has just received a new cardiac medication. How should the nurse instruct the unlicensed assistive personnel (UAP) who is also caring for this client?
1. Have the UAP assess for any unexpected effects from the medication.
2. Tell the UAP to teach the client's family what to expect from the medication.
3. Have the UAP look the medication up in a drug reference book to read about drug actions and possible side effects.
4. Give the UAP specific instructions regarding what drug actions or side effects to report to the nurse.
Correct Answer: 4
Rationale: The nurse should give the UAP specific instructions about what drug actions or side effects should be reported to the nurse. The UAP does not have the skills or legal responsibility to assess the client, but can collect data to report to the nurse. It is also the nurse's responsibility to teach the client or family about the medications. The nurse should not expect that the UAP can determine from the drug reference book what drug actions and possible side effects are pertinent to this client.
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