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Exam (elaborations)

Overview of vital signs assessment – Sherpath UPDATED ACTUAL Questions and CORRECT Answers

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Overview of vital signs assessment – Sherpath UPDATED ACTUAL Questions and CORRECT Answers

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Overview of vital signs assessment –
Sherpath UPDATED ACTUAL Questions
and CORRECT Answers
Question 1 of 3
What actions must the nurse take before delegating vital sign assessment to unlicensed assistive personnel
(UAP)?
Select all that apply.




1. The nurse must first assess the patient.


2. The nurse must determine the patient to be medically stable.


3. The nurse must determine the patient has eaten a full meal.


4. The nurse must verify that the UAP uses the proper technique for measuring vital signs.


5. Ensure that the UAP knows what values need to be reported immediately for each patient. - CORRECT
ANSWER - 1, 2, 4, 5


What vital sign functions may the nurse delegate to unlicensed assistive personnel (UAP)?
Select all that apply.




1. Measure vital signs for a stable patient.


2. Record vital signs for any patient.


3. Report vital signs for a stable patient.

, 4. Interpret vital sign data collected.



5. Measure vital signs before the nurse has assessed a patient. - CORRECT ANSWER - 1, 3


A recently hired UAP wants to please the busy staff nurse. The UAP takes vital signs and records the data
on all the patients (10) on the step down coronary unit. The nurse must discuss this action with the UAP
and point out why this is not within her scope of patient care. Which duties are strictly nursing
responsibilities?
Select all that apply.




1. Patients must be assessed by the nurse and determined to be medically stable.


2. The UAP may measure, record, and report vital signs for a stable patient.


3. Interpret vital sign data.


4. Report abnormal values and other significant assessment findings to the appropriate health care
provider.



5. Reassess any abnormal values measured by the UAP. - CORRECT ANSWER - 1, 3, 4, 5


What does proper documentation of vital signs require?
Select all that apply.




1. Obtaining normal and abnormal vital sign results


2. Documenting duplicate entries

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