The nurse can safely assign which task to an unlicensed assistive personnel (UAP) for a patient who is stable after a myocardial infarction?
Give the client his blood pressure medication
Measure the vital signs
Report any unusual lung sounds.
Teach the patient about a heart healthy diet.
The Correct Answer is B
A. Give the client his blood pressure medication: Administering medications is outside the scope of practice for UAPs and should be done by licensed nursing staff.
B. Measure the vital signs: Measuring vital signs is within the scope of practice for UAPs and can be safely assigned to them.
C. Report any unusual lung sounds: Assessing and interpreting lung sounds require the skills and training of a licensed nurse.
D. Teach the patient about a heart-healthy diet: Teaching requires assessment and evaluation, which are within the RN’s scope of practice, not the UAP’s.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The client will be able to lift more than 50 pounds after abdominal surgery on post-op day 1. This goal is not realistic or safe for a client post-abdominal surgery on day 1.
B. The client will be able to describe ALL the signs and symptoms of COPD. This goal is not realistic or specific enough to be measurable and achievable.
C. The client will be able to tolerate 50% of his meal at lunch. This goal is Specific, Measurable, Achievable, Relevant, and Time-bound (SMART).
D. The client states his wound is improving. This goal is not measurable or specific.
Correct Answer is C
Explanation
A. Cognitive: The cognitive domain involves knowledge and understanding, but readiness for learning pertains more to the affective domain.
B. Psychomotor: The psychomotor domain involves physical skills and coordination, not the client's readiness for learning.
C. Affective: The affective domain involves attitudes, feelings, and readiness to learn. The client's statement of readiness indicates a positive attitude and willingness to engage in learning.
D. Social: Social is not one of the primary learning domains recognized in education theory.
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