The nurse and unlicensed assistive personnel (UAP) are caring for an elderly client diagnosed with emphysema. Which nursing tasks could be delegated to the UAP to improve gas exchange? (Select All that Apply)
Assess level of consciousness
Auscultate breath sounds
Encourage deep breathing exercises
Record pulse oximeter reading
Keep the head of bed elevated
Correct Answer : C,D,E
A. Assessing level of consciousness is a nursing responsibility and cannot be delegated to the UAP.
B. Auscultating breath sounds requires clinical judgment and must be performed by a nurse.
C. Encouraging deep breathing exercises is within the scope of a UAP and can help improve gas exchange.
D. Recording a pulse oximeter reading is a task that can be delegated to a UAP, though interpretation remains the nurse’s responsibility.
E. Keeping the head of the bed elevated helps improve oxygenation and can be done by the UAP.
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Related Questions
Correct Answer is D
Explanation
A. A balloon inflation within the artery describes percutaneous coronary intervention (PCI) or angioplasty, not CABG.
B. A medication to dissolve a blood clot refers to thrombolytic therapy, which is not part of a CABG procedure.
C. Injecting dye to outline heart vessels describes a coronary angiogram, which is a diagnostic procedure but not a treatment.
D. CABG involves using a healthy artery or vein to bypass the blocked portion of a coronary artery, restoring proper blood flow to the heart muscle.
Correct Answer is B
Explanation
A. A high-calorie, high-protein diet is recommended to prevent weight loss, but this is not the best answer related to breathing strategies.
B. Pursed-lip breathing helps control shortness of breath by slowing exhalation, preventing airway collapse, and improving oxygenation.
C. Abdominal breathing is helpful, but lying on the stomach is not an appropriate technique for emphysema management.
D. Clients with emphysema should get a flu shot annually to prevent respiratory infections.
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