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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