1. Check the client's blood glucose level. Show Rationale:The client is experiencing symptoms of mild hypoglycemia. If symptoms such as hunger, irritability, shakiness, or
weakness occur, the nurse first will check the client's blood glucose level to verify that the client is experiencing hypoglycemia. Once this is verified, the nurse will give the client 10 to 15 g of carbohydrates, such as a ½ cup (118 mL) of fruit juice. The nurse will retest the blood glucose level after 15 minutes. While waiting the 15 minutes, the nurse will check the client's vital signs. The nurse will give the client another 10- to 15-g carbohydrate food item if the client's symptoms do
not resolve. Otherwise, the nurse will provide a small snack of carbohydrates and protein if the client's next scheduled meal is more than 1 hour away from the time of the occurrence. After treatment and resolution of the hypoglycemic event, the nurse will document the occurrence, actions taken, and outcome. 2.Observing the client's behavior Rationale:The general survey is a review of the client's main health problems and includes assessment of vital signs, height and weight, general behavior, and appearance. The nurse can delegate some aspects, such as measuring
height and weight and monitoring intake and output, to UAPs, but the nurse is responsible for performing the general survey, including assessment of general appearance, behavior, and skin. The nurse
manager meets with the staff nurses and announces that management has developed a new policy and procedure that is significantly different from old practices. Which statement by the nurse manager reflects the manager's use of legitimate power? The nurse is the first responder after a tornado has destroyed many homes in the community. Which victim should the nurse attend to first? Which tasks are appropriate for the unlicensed assistive personnel?Typical UAP Tasks
Common ADLs include bathing and grooming, feeding, dressing, toileting, ambulating, and continence.
Which task may be safely delegated to unlicensed assistive personnel UAP )?Documenting intake/output, assisting with activities of daily living, and performing other routine client care tasks can be safely delegated to the UAP.
What are UAP allowed to do?Assisting with personal hygiene: bathing, oral hygiene, nail care, and grooming. Assisting with dressing, repositioning, feeding, and toileting. Some states allow UAP's to administer medications after completing a course or can show they are competent in doing so.
Can UAP give a IV?The UAP cannot give any oral, IV, SQ, topical, or IM medications. The LPN and RN can collect sterile specimens. The UAP cannot collect sterile specimens.
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