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 A
Explanation
A. The nurse encourages autonomy by allowing the client time to wash their face and upper chest with the left arm: The Self Care Model focuses on promoting independence and encouraging clients to do as much for themselves as possible. Allowing the client to perform tasks within their ability fosters autonomy and self-care.
B. The nurse performs range of motion exercises to the right arm: While beneficial, this does not directly promote the client's independence in self-care.
C. The nurse recognizes due to cultural preferences a female should provide the bed bath: This respects cultural preferences but does not relate directly to promoting self-care.
D. The nurse performs all the tasks: This does not encourage the client’s independence and is not aligned with the Self Care Model.
Correct Answer is A
Explanation
A. Clarification: Clarification is a technique used to ensure that the nurse understands the client’s feelings and concerns correctly. By asking if the client is feeling anxious about the results, the nurse is clarifying the client’s statement.
B. Providing information: Providing information involves giving facts or details to the client, not seeking to understand their feelings.
C. Confrontation: Confrontation involves addressing discrepancies in the client’s statements or behaviors, which is not applicable in this situation.
D. Summarizing: Summarizing involves reviewing main points of the conversation, not clarifying feelings.
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