Ignatavicius Chapter 63 (Evolve) questions with correct answers

An older client with an elevated serum calcium level is receiving IV furosemide (Lasix) and an infusion of normal saline at 150 mL/hr. Which nursing action can the RN delegate to unlicensed assistive personnel (UAP)? A. Ask the client about any numbness or tingling. B. Check for bone deformities in the client's back. C. Measure the client's intake and output hourly. D. Monitor the client for shortness of breath. Answer C. Measure the client's intake and output hourly. Measuring hourly intake and output is a commonly delegated nursing action that is within the UAP scope of practice. Numbness and tingling is part of the client assessment that needs to be completed by a licensed nurse. Bony deformities can be due to pathologic fractures. Physical assessment is a complex task that cannot be delegated to a UAP. An older client receiving an IV at 150 mL/hr is at risk for congestive heart failure. Careful monitoring for shortness of breath is the responsibility of the RN. The nurse manager for the medical-surgical unit is making staff assignments. Which client will be most appropriate to assign to a newly graduated RN who has completed a 6-week unit orientation? A. Client with chronic hypothyroidism and dementia