The RN delegates the task of taking vital signs of all the clients on the medical-surgical unit to an unlicensed assistive personnel (UAP). Specific written and verbal instructions are given to not take a post-mastectomy client's blood pressure on the left arm. Which of these statements is most immediately accurate?

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Question 1 of 5

The RN delegates the task of taking vital signs of all the clients on the medical-surgical unit to an unlicensed assistive personnel (UAP). Specific written and verbal instructions are given to not take a post-mastectomy client's blood pressure on the left arm. Which of these statements is most immediately accurate?

Correct Answer: D

Rationale: The UAP is responsible for following instructions . Delegation was clear; accountability lies with UAP adherence. RN accountability exists, delegation was appropriate (B false), and UAP isn't under RN license . D ensures task execution, making it accurate.

Question 2 of 5

The parents of a child who has suddenly been hospitalized for an acute illness state that they should have taken the child to the pediatrician earlier. Which approach by the nurse is best when dealing with the parents' comments?

Correct Answer: D

Rationale: Accepting feelings without judgment is best. It validates parental guilt, building trust for coping, unlike focusing on recovery , explaining illness , or agreeing , which may dismiss emotions. D supports emotional health, making it the top approach.

Question 3 of 5

The nurse is teaching the parents of a 3 month-old infant about nutrition. What is the main source of fluids for an infant until about 12 months of age?

Correct Answer: A

Rationale: Formula or breast milk is the main fluid source until 12 months. It meets nutritional needs, unlike dilute milk (B, lacks fat), juice (C, sugar risks), or water (D, no calories). A aligns with AAP guidelines, making it correct.

Question 4 of 5

Which task could be safely delegated by the nurse to an unlicensed assistive personnel (UAP)?

Correct Answer: A

Rationale: Being with a client self-administering insulin is safely delegable. It's supportive, within UAP scope, unlike dressing ulcers , monitoring , or rectal care , needing RN skill. A ensures safety.

Question 5 of 5

A client with a diagnosis of bipolar disorder has been referred to a local boarding home for consideration for placement. The social worker telephoned the hospital unit for information about the client's mental status and adjustment. The appropriate response of the nurse should be which of these statements?

Correct Answer: D

Rationale: I need the client's written consent' is appropriate. HIPAA requires consent for PHI release, unlike provider-only , phone refusal , or open sharing . D protects privacy, making it correct.

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