Which task could not be delegated by the nurse to the unlicensed assistive personnel (UAP)?
1. Monitor client's vital signs and oxygen saturation every 4 hours.
2. Measure client's blood pressure and report to the nurse after administration of routine daily antihypertensive medication.
3. Monitor vital signs of client who complained of chest pain, requiring three doses of nitroglycerin to resolve, earlier in the shift.
4. Measure vital signs on client who had a stroke 3 years ago and is admitted for urinary tract infection.
Correct Answer: 3
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A) With the patient, clarify the surgical procedure that will be performed. B) Withhold the patient's scheduled medications for at least 12 hours preoperatively. C) Inform the patient that health teaching will begin as soon as possible after surgery. D) Avoid discussing the patient's fears as not to exacerbate them.
A postpartum client asks, "Will these stretch marks go away?" Which is the nurse's best response?
a. "No, never." b. "Yes, eventually." c. "They will fade to silvery lines but won't disappear completely." d. "They will continue to fade and should be gone by your 6-week checkup."
The nurse is helping a patient identify ways to adhere to a weight reduction plan. What should the nurse suggest to help this patient?
1. Set aside small nonfood rewards when you meet a goal. 2. Eat alone to reduce outside distractions. 3. Drink water or a diet beverage after eating to promote feelings of fullness. 4. Allow at least 45 minutes to 1 hour to promote full enjoyment of a meal.
A nurse working with adolescents recognizes which factor as being of greatest importance to this age group?
a. Normal growth and development b. Peer relationships c. Career selection d. Child rearing