So there is this company (that shall remain unnamed) we have to take prep tests from. And One of the questions for delegation went something like this:
You, the RN, are planning care for a patient who had a CVA that resulted in aphasia and dysphasia. Which of these tasks can you assign to a UAP?
1) Assist the patient with a bed bath.
2) Measure the BP 30 minutes after you give metoprolol.
3) Test the patient with a swallow study.
4) Help the patient communicate using a word board.
5) Irrigate that patient's urinary catheter.
I chose 1, 2 and 4.
The answer was 1, 2, and 3, according to the program, which was a problem because NO nurse in her right of mind would trust a UAP's skill in measuring a BP after giving an antihypertensive. Hell, I know that most books will say that a UAP can "record vitals" or "collect vitals," and I guess to pass the NCLEX you should consider the collection of vitals to be different than the assessment of vitals, but I swear if you administer a medication in real life based off of your UAP's collection of vitals I will come and slap you in the face with a bag of Lactated Ringer. DO NOT ADMINISTER MEDICATIONS CONTINGENT ON VITALS YOU DID NOT TAKE YOURSELF.
I wish I could show you the screenshot I took of this question, but I don't want to be sued for stealing "intellectual" property--if it can even be called that because then it even berated me for choosing the incorrect answer of irrigating the patient's urinary catheter (answer 5), which I didn't even choose. What a completely useless practice. And yet your school will require you to pass assessments by programs like these in order for you to be cleared to take the NCLEX.
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