A nurse is assisting an infection control nurse teach a class about transmission of infectious agents. The nurse should include that which of the following diseases is transmitted via airborne transmission?(Select All that Apply.)

A. If any interventions were taken in response to abnormal blood pressure readings (e.g., administering medication, adjusting treatment plans), it should be recorded to provide a complete picture of the
client’s care.
B. This is also crucial information to include. Blood pressure readings can vary based on the client's position (e.g., sitting, standing, lying down), so documenting the position helps provide context for the reading and ensures consistency in monitoring.
C. This is important to document as well. Indicating whether the blood pressure was taken on the right arm, left arm, or another site (like the thigh) is necessary, as different sites can yield different readings and can be relevant for assessing trends over time.
D. Documenting the client’s response to any interventions is vital. This includes how the client reacted to medications or changes in treatment based on their blood pressure readings. It helps in evaluating the effectiveness of interventions and planning future care.
E. This information is not typically documented in the context of a specific blood pressure reading. While it’s important for care planning to know how often blood pressure should be monitored, the actual frequency does not need to be recorded with each individual reading.

A. This task should not be delegated to an AP. Administering medication, especially pain medication, requires nursing assessment and judgment, including monitoring for effectiveness and potential side effects. Only licensed nurses can administer medications.
B. This task is also not suitable for delegation to an AP. Wound care, particularly for a pressure injury, requires specialized knowledge and skills to assess the wound, determine appropriate care, and evaluate for signs of infection. This should be performed by a licensed nurse.
C. This task involves patient education and reinforcement of nursing instructions, which should be conducted by a nurse. While an AP can assist with the use of the incentive spirometer, the initial teaching and reinforcement should be handled by a licensed nurse.
D. This task is appropriate for delegation to an AP. Obtaining a daily weight is a routine task that does not require nursing judgment or assessment beyond standard procedure. The AP can report the weight to the nurse, who will then assess any necessary interventions based on the results.