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NCLEX-RN (Registered Nurse) Practice Exam · Question

The nurse is caring for an older adult client who became agitated and pulled out their peripheral intravenous (IV) line. There is a small amount of blood at the insertion site. The nurse should delegate which task to an unlicenced assistive personnel (UAP)?

Obtaining vital signs is within the scope of practice for a UAP. Reinserting an IV, applying a sterile dressing to an open wound, and assessing neurological sta

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Question: The nurse is caring for an older adult client who became agitated and pulled out their peripheral intravenous (IV) line. There is a small amount of blood at the insertion site. The nurse should delegate which task to an unlicenced assistive personnel (UAP)?

Answer options:

  • Reinserting a new peripheral IV catheter.
  • Applying pressure and a sterile dressing to the site.
  • Assessing the client's current level of consciousness. ✅ Obtaining a vital sign set including blood pressure.

Correct answer: Obtaining a vital sign set including blood pressure.

Explanation: Obtaining vital signs is within the scope of practice for a UAP. Reinserting an IV, applying a sterile dressing to an open wound, and assessing neurological status require nursing judgment and skill, which fall outside the UAP's scope.

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