DELEGATION & SAFETY
UAP can do which?
A: Daily weights
Rationale: Non-assessment task.
Which patient first? (resp rate)
A: Asthma RR 36
Rationale: Respiratory failure risk.
K 3.0 → which order question?
A: Furosemide
Rationale: Lowers K further.
WBC 2,000 → what priority?
A: Protect from infection
Rationale: Severe neutropenia.
Describe a pt reporting to the ER with a PE
A: PE with SOB & chest pain
Rationale: Life-threatening.
Who can interpret an ECG?
A: Interpret ECG
Rationale: Requires clinical judgment.
New confusion + tachypnea → first action?
A: Assess SpO₂
Rationale: Suspect hypoxia.
Hyperkalemia + peaked T waves → give?
A: Calcium gluconate
Rationale: Protects myocardium.
Ca 7.1 → most urgent?
A: Laryngeal spasm
Rationale: Airway.
What is considered a reportable fever in a neutropenic pt?
A: Neutropenia + fever
Rationale: Sepsis risk.
Seizure precautions include…
A: Pad side rails
Rationale: Safety first.
Sodium 158 → priority?
A: Hypotension
Rationale: Shock risk.
3% saline → crackles. What is this?
A: Pulmonary edema
Rationale: Hypertonic draws fluid into lungs.
K 6.8 → cardiac monitor needed?
A: YES
Rationale: Risk of lethal dysrhythmias.
Stage IV ulcer + fever, what should we do?
A: Notify provider
Rationale: Systemic infection.
Which can UAP do for PE?
A: Assist to Fowler’s
Rationale: Positioning allowed.
BP 88/54, fever, tenting → condition?
A: Hypovolemia
Rationale: GI infection + dehydration.
Med teaching for COPD?
A: High-calorie meals
Rationale: Increased metabolic demand.
FVE → lab pattern:
A: ↓ osmolality, ↓ sodium
Rationale: Dilutional.
COPD with peripheral edema
A: Cor pulmonale
Rationale: Right-sided HF complication.
RN must verify before delegating?
A: Patient stability
Rationale: Unstable = RN only.
Antibiotic started → hives on arms. What next?
A: Stop infusion
Rationale: Prevent progression to anaphylaxis.
Which medication worsens hypokalemia?
A: Insulin IV
Rationale: Drives K into cells.
CKD labs show metabolic acidosis — why?
A: Kidneys retain acid
Rationale: Impaired H⁺ excretion.
Pneumonia patient improving when…
A: ↑ oxygen saturation
Rationale: Resolution of hypoxia.