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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Correct Answer is B

Explanation

A. "There are no provider's prescriptions available." This statement is about the current situation or background, not a recommendation.
B. "The client should be seen by a neurologist." The Recommendation (R) step involves suggesting actions or solutions, such as recommending that the client be seen by a neurologist.

C. "The client is disoriented. Pupils are slow to respond to light." This statement belongs in the Assessment (A) step as it describes the nurse’s clinical findings.
D. "The client was found unconscious on the floor in her home." This statement provides background information (B) about the client’s situation.

A. Show the client a video of proper crutch walking B. Assess the client’s readiness to learn C. develop short term goal for the client in the teaching plan D. Ask the client to demonstrate walking with the crutches

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning to use the SBAR communication tool when giving on coming shift report. Which of the following statements should the nurse include in the R step?

Correct Answer is B

Explanation

A nurse is preparing a teaching plan to a client who is learning crutch walking. The nurse should identify the following actions as part of the planning step of the teaching plan.

Correct Answer is C

Explanation

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