hard · NCLEX-RN Management of Care

A client with acute pancreatitis is being transferred from the intensive care unit to the step-down unit. Which actions must be performed by the RN rather than delegated to an LPN/VN? Select all that apply.

  1. Administer an intravenous bolus of 0.9% NaCl to a client with a blood pressure of 88/50 mm Hg.
  2. Auscultate bowel sounds and report the presence of abdominal distension.
  3. Perform the initial admission assessment and develop the nursing care plan.
  4. Provide discharge teaching regarding a low-fat diet and alcohol cessation.
  5. Administer a scheduled subcutaneous dose of 5,000 units of heparin.

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