The nurse is delegating to the unlicensed assistive personnel (UAP). What is the best instruction by the nurse?
A) Notify me right away if the client's systolic blood pressure is 170 or greater.
B) Let me know if the client's blood pressure becomes elevated.
C) If the client's blood pressure falls outside normal limits, come get me.
D) I need to know if the client's blood pressure changes from his normal baseline.

Question

Quizplus · Accepted Answer

This instruction gives a specific parameter for the UAP to monitor and report immediately to the nurse. It is important for the nurse to be alerted quickly if the client's systolic blood pressure is at a dangerous level.

Answer: D
 This instruction gives the UAP a clear direction on what to report to the nurse. It is important for the nurse to know if the client's blood pressure changes from their normal baseline, as this could indicate a possible health issue. However, this instruction is not as specific as option A, which could delay action if the blood pressure becomes dangerously high.

The Nurse Is Delegating to the Unlicensed Assistive Personnel (UAP)