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 B
Explanation
A. Assessment: Assessment is the initial data collection phase before intervention.
B. Evaluation: Evaluation involves determining the effectiveness of an intervention. Checking blood sugar after administering insulin is evaluating the effectiveness of the insulin.
C. Planning: Planning involves setting goals and deciding on interventions, not the follow-up.
D. Implementation: Implementation involves carrying out the planned interventions, such as administering insulin, not checking the results.
Correct Answer is C
Explanation
A. Show the client a video of proper crutch walking: Showing a video is part of the implementation step, not the planning step.
B. Assess the client's readiness to learn: Assessing readiness to learn is part of the assessment step, not the planning step.
C. Develop short-term goals for the client in the teaching plan: Developing short-term goals is a key part of the planning step in a teaching plan.
D. Ask the client to demonstrate walking with the crutches: Asking for a demonstration is part of the evaluation step, not the planning step.
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