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25. a nurse is assigned to care for the following patients who all need vital signs taken right now. Which of these patients is most appropriate for the nurse to delegate vital sign measurement to nursing assistive personnel? A. A patient scheduled for a procedure in the nuclear medicine department. B. Patient transferring from the intensive care unit. C. Patient returning from cardiac catherization. D. Patient returning from hip replacement surgery. 26. The nurse is providing care to a 25-year-old female patient admitted to the unit with a diagnosis of cystitis. Which intervention could the RN delegate to the unlicensed assistive personnel (UAP)? A. Check the patient’s urine for color, odor, and sediment. B. Review the nursing care plan for appropriate intervention C. Provide the patient wih a clean catch urine container. D. Show the patient how to secure a clean catch urine sample. 27. A patient treated for DVT is being discharged home with a prescription to continue taking Warfarin. Which statement, made by the patient indicates the need for additional teaching on Warfarin? A. I should wear MedicAlert bracelet in case of an emergency. B. I will increase the amount of leafy green vegetable I eat. C. If I get cut I will apply pressure for at least 5 minutes D. I will have to see my health care provider regularly while taking this medication. 28. while receiving a transfusion of packed red blood cells, the patient begins to demonstrate tachycardia, dyspnea, suddent anxiety, crackles at the base od the lungs and an increase in blood pressure. The nurse stops the base of the lungs an dan increase in blood pressure. The nurse stops the transfusion because these are clinical signs of which of ty of reaction? A. allergic B. acute hemolytic C. bacterial contamination D. circulatory overload 29. which instruction is given to the patient being prepared for a bone aspiration? A. You will not feel any pain, since this is not an invasive procedure. B. There will be a brief, sharp pain during aspiration of the bone marrow. C. You will be given a general anesthetic before the performance of this procedure D. It is normal to bleed for a while following the procedure, so you will be monitored closely. 30. the RN delegates a wound irrigation to a Licensed Practical Nurse. It has been a long time since the LPN performed this procedure. To ensure patient safety the RN should: A. verbally describe to the LPN how to perform the procedure B. assingn another LPN to perform the procedure. C. Have the LPN demonstrate how to perform the procedure. D. Just do the dressing change by hm or her self instead.
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