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The Nurse Delegates the Measurement of Vital Signs on Three

Question 4

Multiple Choice

The nurse delegates the measurement of vital signs on three clients to the unlicensed assistive personnel (UAP) .The nurse evaluates the UAP's performance and notes that blood pressure is measured on a client by having the client hold the arm hanging over the side of the bed.Which is the priority action by the nurse?


A) Commend the UAP for following the proper procedure.
B) Inform the charge nurse that the UAP does not know how to measure blood pressures.
C) Yell at the UAP and tell her she is incompetent.
D) Instruct the UAP that blood pressure should be measured with the artery at or above the level of the heart,and demonstrate correct technique.

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