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.

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. The nurse determines the client’s readiness to learn: Assessing the client's readiness to learn is part of the assessment phase of the teaching plan. It involves evaluating the client’s emotional and cognitive state to ensure they are prepared to absorb new information.
B. The nurse discusses types of food that the client needs to avoid: This is part of the teaching or implementation phase, not the assessment phase.
C. The nurse describes which supplies would be needed: Describing necessary supplies is also part of the teaching or implementation phase.
D. Ask the client to demonstrate emptying of the colostomy bag: This is part of the evaluation phase, where the nurse assesses the client’s ability to perform the task taught.

A. dizziness B. facial droop C. numbness D. Fatigue

Correct Answer is B

Explanation

A. Dizziness: Dizziness is a subjective symptom reported by the client.
B. Facial droop: Objective data is information that can be directly observed or measured by the healthcare professional. It's independent of the client's interpretation or feelings. A facial droop is an observable and measurable sign, making it objective data.
C. Numbness: Numbness is a subjective symptom reported by the client.
D. Fatigue: Fatigue is a subjective symptom reported by the client.

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The nurse can safely assign which task to an unlicensed assistive personnel (UAP) for a patient who is stable after a myocardial infarction?

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