Rn HESI Management NGN
Rn HESI Management NGN ( 48 Questions)
The nurse determines that an intravenous (IV) vesicant chemotherapy infusion is infiltrated. In responding to this finding, which task can the nurse delegate to the unlicensed assistive personnel (UAP)?
Recording the client's pulse volume distal to the IV site is a nursing responsibility as it involves an assessment of circulation.
Reapplying cold compresses is a task that UAP can perform to help minimize swelling and discomfort at the extravasation site.
Disposing of the IV tubing after the infusion is discontinued is a nursing responsibility to ensure proper disposal and prevent contamination.
Teaching the client about the need to keep the extremity elevated involves patient education and is within the scope of nursing practice.
Choice A rationale: Recording the client's pulse volume distal to the IV site is a nursing responsibility as it involves an assessment of circulation.
Choice B rationale: Reapplying cold compresses is a task that UAP can perform to help minimize swelling and discomfort at the extravasation site.
Choice C rationale: Disposing of the IV tubing after the infusion is discontinued is a nursing responsibility to ensure proper disposal and prevent contamination.
Choice D rationale: Teaching the client about the need to keep the extremity elevated involves patient education and is within the scope of nursing practice.
