The nurse delegates vital signs for a patient to the nurse assistant. What is the nurse's responsibility regarding delegation of this task?

The nurse should review the patient's vital signs as soon as they are done.

The nurse assistant should not be responsible for obtaining vital signs.

The nurse is not responsible if the nurse assistant fails to obtain the vital signs.

The nurse assistant should determine if the patient's vital signs are abnormal.

Answer and Explanation

The Correct Answer is A

A. The nurse should review the patient's vital signs as soon as they are done. Even though vital signs can be delegated, the nurse retains accountability for assessing the data, interpreting abnormalities, and determining if further action is needed.
B. The nurse assistant should not be responsible for obtaining vital signs. Nurse assistants can take vital signs if they are properly trained and it is within their scope of practice. However, the nurse remains responsible for interpreting and acting on the results.
C. The nurse is not responsible if the nurse assistant fails to obtain the vital signs. The nurse remains accountable for delegated tasks and must ensure they are completed correctly.
D. The nurse assistant should determine if the patient's vital signs are abnormal. Nurse assistants can report abnormal findings, but they are not responsible for interpreting results or making clinical decisions—this is the nurse’s responsibility.

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Correct Answer is ["39.2"]

Explanation

Calculation:

The formula to convert Fahrenheit (°F) to Celsius (°C) is:

°C = (°F - 32) × 5/9

= (102.5 - 32) × 5/9

= (70.5) × 5/9

= 39.1666...

Rounding to the nearest tenth: 39.2 °C.

Therefore, 102.5 °F is equal to 39.2 °C.

A. The PCA will give additional pain medication whenever the button is pushed." B. "Wait until the pain becomes severe before pushing the PCA button." C. "The PCA will deliver medication through the IV until the pain is all gone." D. "You or a designated family member are the only one who gets to push the PCA button-nobody else may do so."

Correct Answer is D

Explanation

A. "The PCA will give additional pain medication whenever the button is pushed." PCA pumps have lockout intervals to prevent overdose, so pushing the button repeatedly will not always result in additional medication.
B. "Wait until the pain becomes severe before pushing the PCA button." PCA is most effective when used at the onset of pain rather than waiting until it becomes severe, which can make pain harder to control.
C. "The PCA will deliver medication through the IV until the pain is all gone." PCA provides controlled doses of medication but does not eliminate pain entirely. The goal is pain management, not complete pain relief.
D. "You or a designated family member are the only one who gets to push the PCA button—nobody else may do so." PCA is designed for patient-controlled use, and only the patient (or a designated, trained family member in special cases) should operate it to ensure proper dosing and safety.

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The nurse delegates vital signs for a patient to the nurse assistant. What is the nurse's responsibility regarding delegation of this task?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Covert 102.5 Fahrenheit to C (round to tenths)

Correct Answer is ["39.2"]

Explanation

Which instruction will the nurse give to the patient about proper use of patient-controlled analgesia (PCA)?

Correct Answer is D

Explanation

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