The nurse is working on a respiratory care unit in the hospital. ...

[penza]

The nurse is working on a respiratory care unit in the hospital. On entering the room of a client with emphysema, the nurse notes that the client is experiencing respiratory distress. Which of the following actions should the nurse take?
 
  a. Instruct the client to breathe rapidly.
  b. Provide 28 oxygen at 2 L per minute via nasal cannula.
  c. Place the client in the supine position.
  d. Contact the physician.

Question 2

The nurse on the unit is determining which activities may be delegated to an unregulated care provider (UCP). A number of factors are included in the nurse's decision.
 
  Assuming that the UCP is competent, which one of the following activities may be safely delegated by the regis-tered nurse? a. Ambulating stable clients
  b. Preparing an admission history on a new client
  c. Performing the initial transfer of a postoperative client
  d. Administering medications prepared by the nurse

[KKcool]

Answer to Question 1

B
The nurse should provide a low concentration of oxygen to the client.
The nurse should instruct the client to use pursed-lip breathing.
The most effective position for the client with cardiopulmonary disease is the 45-degree semi-Fowler's position, using gravity to assist in lung expansion and reduce pressure from the abdomen on the diaphragm.
The nurse's first priority should be to attend to the client, who is in respiratory distress, not to contact the physician.

Answer to Question 2

A
An institution's policies and procedures and job description for a UCP provide specific guide-lines with regard to which tasks or activities can be delegated. The nurse should match tasks to the delegate's skills, such as ambulating stable clients.
It would not be appropriate to delegate the preparation of an admission history on a new client to a UCP. The RN should perform this task.
The initial transfer of a postoperative client should not be delegated to a UCP, as the client would be considered unstable. The RN should perform this task.
The nurse should not delegate medication administration to anyone, if the nurse prepared it. The UCP is not licensed to administer medication.