Evolve HESI Practice Exam

What instructions should the nurse give a UAP assigned to obtain vital signs from a very anxious client?

1. Ask the client to relax before taking vital signs.

2. Report the results of the vital signs to the nurse.

3. Take the vital signs multiple times for accuracy.

4. Record the vital signs in the client's chart immediately.

The correct answer is: Report the results of the vital signs to the nurse.

The most appropriate choice is for the unlicensed assistive personnel (UAP) to report the results of the vital signs to the nurse. This option emphasizes the importance of proper communication and collaboration within the healthcare team. The UAP is responsible for gathering vital signs, but the analysis and interpretation of those results are within the nurse's scope of practice. By reporting the findings to the nurse, the UAP ensures that the client receives a comprehensive evaluation of their vital signs in the context of their overall health status, especially given that the client is very anxious, which can affect the results. The other options, while relevant in specific contexts, do not provide the same level of necessary action. Asking the client to relax may not be effective for someone who is very anxious; it could lead to further stress if the client feels incapable of doing so. Taking vital signs multiple times could lead to unnecessary stress for the patient and may not yield additional helpful results since anxiety itself can impact vital signs. Recording the vital signs in the client's chart immediately, while important, should come after the UAP has communicated the results to the nurse for further action. By focusing on the reporting aspect, the chosen answer aligns with best practices in team communication and patient care.