The nurse and unlicensed assistive personnel (UAP) on the telemetry unit are caring for four pa-tients. Which nursing action can be delegated to the UAP?
a. Teaching a patient scheduled for exercise electrocardiography about the procedure
b. Placing electrodes in the correct position for a patient who is to receive ECG moni-toring
c. Checking the catheter insertion site for a patient who is recovering from a coronary angiogram
d. Monitoring a patient who has just returned to the unit after a transesophageal echo-cardiogram
ANS: B
UAP can be educated in standardized lead placement for ECG monitoring. Assessment of pa-tients who have had procedures where airway maintenance (transesophageal echocardiography) or bleeding (coronary angiogram) is a concern must be done by the registered nurse (RN). Patient teaching requires RN level education and scope of practice.
You might also like to view...
Your bed-bound, elderly client has a pressure ulcer that looks like a blister or shallow crater. The pressure ulcer is most likely in which stage?
1. stage I 2. stage II 3. stage III 4. stage IV
When assisting a confused, agitated resident with activities of daily living (ADLs), you should
A. give the resident three or four choices. B. say as little as possible. C. give lengthy, complete instructions. D. avoid making too many demands.
As you go in to give R.B. his medication, he speaks to you in fragmented sentences. "Is that a bird? the little flowers jump up and down. What says the moon?"
Before you can say anything, he asks, "do you see that bird over my bed? she is telling me not to leave this room. If I move she will swoop down and try to peck at my eyes. Be careful!" Is he having a delusion or a hallucination? Explain your answer. Which responses by the nurse are appropriate? Select all that apply. a. "I don't see a bird over your head, but I can understand how that would be upsetting to you." b. "There is no bird over your bed." c. "Tell me more about what you are seeing." d. "The voice you are hearing is part of your illness. It can't hurt you." e. "I'll come back to talk to you when you are settled down."
Which parental statement indicates correct understanding of preventive techniques for heat-related illnesses when children exercise?
1. "Wearing dark clothing during exercise is recommended." 2. "Water is the fluid of choice to replenish fluids." 3. "During activity, stop for fluids every 15 to 20 minutes." 4. "Hydration should occur at the end of an exercise session."