A registered nurse delegates vital signs on a patient to the ...

[jho37]

A registered nurse delegates vital signs on a patient to the unlicensed assistive personnel (UAP). The nurse reviews the documented vital signs from the UAP to determine if they are within nor-mal parameters for the patient.
 
  The nurse in this example is demonstrating which attribute when following up on the vital signs? a. Interprofessional collaboration
  b. Staff education
  c. Accountability
  d. Delegation

Question 2

A 15-year-old patient suffered a head injury as the result of a bicycle accident. The nurse is concerned about potential fluid complications caused by the injury. What should the nurse mon-itor most closely?
 
  a. Aldosterone release
  b. Urine output
  c. Renin release
  d. Body temperature

[cat123]

Answer to Question 1

C
Accountability refers to liability or individuals being answerable for their actions. It involves follow up and a reflective analysis of your decisions to evaluate their effectiveness. A primary nurse delegates responsibility but is accountable for his or her patients' outcomes. Interprofes-sional collaboration involves bringing representatives of the various disciplines together to work with patients and families to deliver quality care. A nurse and a UAP are not from different dis-ciplines. Following up is not an example of delegation; the nurse did it. Delegation is the process of assigning part of one person's responsibility to another qualified person in a specific situation. When the nurse assigned the vital signs that is delegation. Staff education involves planning in-service training sessions, sending staff members to professional conferences, and having staff members present case studies or practice issues during staff meetings.

Answer to Question 2

B
Antidiuretic hormone regulates osmolality of body fluids by influencing how much water is ex-creted in urine. The hypothalamus controls release of ADH from the posterior pituitary gland. Head injury may cause altered urine output by injuring the hypothalamus or pituitary. A head injury would not involve the adrenal gland. The adrenal cortex releases aldosterone in response to increased plasma potassium concentration or as the end product of the re-nin-angiotensin-aldosterone system (RAAS). Renin, released by the kidneys, acts on the inactive protein angiotensinogen to produce angiotensin I. Other enzymes in the lung capillaries convert to angiotensin II. Again, there is no direct correlation to head injury. Body temperature does not reflect fluid imbalance directly.