The nurse is working with an unlicensed assistive personnel (UAP) during a busy shift while administering medications. Which actions by the nurse are inappropriate when working with the UAP?
Select all that apply.
1. Informing the UAP of the therapeutic effects that will be seen
2. Requesting that the UAP inform the nurse if a side effect of the medication is noted
3. Asking the UAP to assess vital signs after administering a blood pressure medication
4. Telling the UAP to administer acetaminophen to a client since it is not a controlled substance
5. Asking the UAP to check a client's pain after the nurse administers an analgesic
Correct Answer: 3,4,5
Since the UAP has limited medication knowledge, assessment and evaluation of the effectiveness of the medication remain the responsibility of the nurse. It is inappropriate for the nurse to ask the UAP to assess vital signs after administering a blood pressure medication to a client and to check a client's pain after the nurse administers an analgesic. It is also inappropriate to have the UAP administer any medications to the client. The nurse can inform the UAP of the expected therapeutic effect of the medication and to notify the nurse if the UAP believes that the client is experiencing a side effect of a medication.
You might also like to view...
Critical thinking is of most value to the nurse who is doing what?
1. Performing a procedure by following the steps in the procedure manual 2. Making decisions about how to handle a patient-based situation 3. Documenting patient care delivered over the past hour 4. Holding the hand of a dying patient who is alone
A young woman asks the nurse about breast augmentation surgery. An appropriate response by the nurse would be:
1. "It is a very common surgery, and the technique has been perfected." 2. "There is no evidence of implants causing cancer, but the implants do make detection of cancer more difficult." 3. "It has been proven that women who have breast augmentation are at greater risk for breast cancer." 4. "You might want to think about it, because the scar tissue distorts the breasts."
You are caring for a patient who had a thoracoscopic procedure that morning. What would you know would be most important to monitor the patient for?
A) Coughing B) Shortness of breath C) Adventitious breath sounds D) Pain
The nurse provides postmortem care for an unfamiliar patient. Which approach should the nurse use to best care for the body after death?
a. Ask about the patient's cultural or spiritual practices. b. Remove tubes and lines before they be-come difficult to remove. c. Cover the patient and transfer the body to the morgue. d. Remove the old patient identification (ID) band and apply a new one.