Editing Management of Care – RN Practice Questions (section)

==Question 14==
A registered nurse is delegating vital sign monitoring to an assistive personnel for a client who received a new antihypertensive. Which statement best demonstrates the '''right direction and communication'''?
# "Please check vital signs on everyone this morning."
# "Take Mr. Lopez's blood pressure and heart rate every 2 hours and tell me right away if the systolic pressure is below 100 or the heart rate is above 110."
# "Keep an eye on Mr. Lopez. He has been a little unstable today."
# "Get vital signs whenever you have time, and chart them before the end of the shift."

'''Answer:''' 2.

''Rationale:'' The right direction and communication requires that the delegation be clear, concise, correct, and complete, specifying the task, the time frame, the expected outcome, and exactly what to report and when. Option 2 names the client, the measurements, the frequency, and specific parameters that trigger an immediate report. Options 1 and 4 lack specificity and urgency. Option 3 gives no measurable task or reporting parameter, and it also describes an unstable client, whose monitoring should not be delegated to unlicensed personnel in the first place.