Question

question: 20 of 70
a nurse on a medical - surgical unit is preparing to assign vital signs measurements for a group of clients. which of the following clients should the nurse delegate to an assistive personnel?

• a client who reports acute chest pain
• a client who has sickle cell anemia and has completed an infusion of packed rbcs
• a client who has just returned to the unit from the pacu
• a client who has a closed head injury and increased intracranial pressure

Explanation:

To determine which client a nurse can delegate vital sign measurement to an assistive personnel, we analyze each option:

• A client with acute chest pain (option 1) has an unstable condition requiring nursing assessment.
• A client with sickle cell anemia who completed packed RBC infusion (option 2) is stable post - procedure, so vital sign measurement can be delegated.
• A client returning from PACU (option 3) is in the immediate post - operative period and needs close nursing monitoring.
• A client with closed head injury and increased ICP (option 4) has a critical condition requiring nursing assessment.

Answer:

B. A client who has sickle cell anemia and has completed an infusion of packed RBC's