It is considered inappropriate to delegate vital sign assessment to certified nursing assistants (CNAs) or unlicensed assistive personnel (UAPs) in which of the following situations? Select all that apply
1. A patient is being admitted to the facility.
2. A patient is in an unstable postoperative condition.
3. A patient is obese.
4. A patient is being administered intravenous (IV) medications that may affect the vital signs.
5. A patient has pale, cold, and clammy skin.
ANS: 2, 4, 5
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A. Return in 1 month for the next shot. B. Return in 2 months for the next shot. C. Return in 6 months for the next shot. D. Return in 1 year for the next shot.
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A child weighing 21 pounds is prescribed diphenhydramine by mouth to prevent nausea associated with receiving immunizations. The recommended safe dose for diphenhydramine is 5 mg/kg/day in 4 divided doses. This child's individual dose should not exceed:
a. 12 mg/dose. c. 20 mg/dose. b. 48 mg/day. d. 12 mg/kg.=
A client complains of a lesion in his nose. Which technique does a nurse use to inspect the nasal mucosa? The nurse:
a. Inserts a nasal speculum horizontally into the client's affected nares. b. Inserts a nasal speculum obliquely into the client's affected nares. c. Uses a light source from the ophthalmoscope. d. Inserts a nasal speculum vertically into the client's affected nares.