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Question 14: You are caring for a heart failure patient who suddenly developed symptoms that include
shortness of
breath, increased respiratory rate, bilateral crackles and frothy sputum. You have notified the
physician
and received orders for the patient. Which activity would be appropriate to delegate to a licensed
practical nurse?
A. Start an IV.
B. Check vital signs every 15 minutes.
C. Morphine sulfate 2mg IV push
D. Insert a foley catheter.
Correct Answer: D
Explanation: The RN should delegate the task to the LPN that does not require assessment. Inserting
the
foley catheter is the least likely to require immediate assessment. The RN should insert the IV and
immediately give IV medications. Vital signs that are taken on a deteriorating patient should be taken
by
the RN so that immediate assessment can be made.
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