ADPIE Nursing Process Questions Related

Review ADPIE Nursing Process Questions related questions and content

After reviewing the database, the nurse discovers that the patient’s vital signs have not been recorded by the nursing assistive personnel (NAP). Which clinical decision should the nurse make? Administer scheduled medications assuming that the NAP would have reported

  • A. abnormal vital signs. Have the patient transported to the radiology department for a scheduled x-ray, and
  • B. review vital signs upon return.
  • C. Ask the NAP to record the patient’s vital signs before administering medications.
  • D. Omit the vital signs because the patient is presently in no distress.
Correct Answer: C

Rationale: Rationale for Choice C:
1. Safety First: Recording vital signs is crucial for patient safety. Asking the NAP to record vital signs ensures the patient's condition is monitored before administering medications.
2. Accountability: Nurses are responsible for ensuring accurate documentation of vital signs. Asking the NAP to record them maintains accountability within the healthcare team.
3. Communication: By requesting the NAP to record vital signs, the nurse fosters effective communication and collaboration in patient care.

Summary of Other Choices:
A: Administering medications without reviewing vital signs could lead to adverse effects if there are abnormalities.
B: Reviewing vital signs upon return delays immediate action and could jeopardize patient safety.
D: Omitting vital signs neglects the essential monitoring required for patient care and could result in missed opportunities for early intervention.