The general survey begins a review of the patient’s primary health problems and evaluation of the patient’s vital signs, height and weight, general
... [Show More] behavior, and appearance. It also provides info rmation about the patient’s illness, hygiene, skin condition, body image, and emotional state. Which of the following cannot be delegated to nursing assistive personnel? Measuring the patient’s height and weight Reporting subjective signs and symptoms Obtaining initial vital signs Monitoring I&O You cannot delegate the general survey to nursing assistive personnel (NAP). The nurse directs NAP to obtain vital signs (not the initial set, but subsequent measurements if patient is stable). The nurse directs NAP to report a patient’s subjective signs and symptoms to the nurse, to measure the patient’s height and weight, and to monitor oral intake and urinary output. The nurse is caring for a patient who is recovering from an acute myocardial infarction. While providing cardiac education, the nurse realizes that the patient needs more education when he: States that he will take his medication when he has chest pain or when his heart rate is greater than 100 Describes the schedule, dosage, and purpose of his medication Describes changes in his behavior that may improve cardiovascular function Describes the benefits of taking his medication regularly The patient should not take medications for cardiovascular function intermittently. Medication should be taken on the regular prescribed schedule to prevent additional cardiac events. Describing changes in his behavior that may improve his cardiovascular function indicates that the patient understands steps he may take to improve his own health. The ability to accurately describe the schedule, dose, and purpose of his medication indicates that the patient understands his treatment. Understanding the benefits of taking his medication regularly should improve patient compliance with therapy. The patient is diagnosed with Bell’s palsy. The nurse assesses the patient and notices drooping of the patient’s right eye and the right side of his mouth. When the functions of the following nerves are compared, the most likely cause of these symptoms would be a dysfunction of: The trigeminal nerve (CN V) The glossopharyngeal nerve (CN IX) The seventh cranial nerve The oculomotor nerve (CN III) Assess cranial nerve (CN) VII (facial) by noting facial symmetry [Show Less]