When incorporating the five rights of delegation, the right circumstance is used in which of the following situations?
a. The RN asks the UAP to draw a prothrombin time on a patient on a heparin drip.
b. The RN asks the UAP to draw blood on a patient with bilateral upper extremity lymphedema.
c. The RN asks the UAP to draw blood on a newly admitted patient with pneumo-nia.
d. The RN asks a new UAP to draw blood on a patient known to be a "hard stick.".
C
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A The prothrombin time blood sample should not be obtained from the arm in which the heparin is running and the UAP is not qualified to know that.
B The site for blood draws in this patient would need to be carefully chosen by only an RN to protect the patient from injury.
C It is within the UAP's scope of practice to draw blood (if allowed in the institu-tion) from patients without IV issues.
D This is inappropriate delegation; the RN should draw this patient's blood.
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