Which assessments are considered second priority? Select all that apply

As instructed by the registered nurse, the unlicensed assistive personnel (UAP) obtained vitals on a patient. The UAP obtained and charted the following vital signs monitoring results: blood pressure 90/42 mm Hg, pulse 128 bpm, oxygen saturation 86% on room air, and temperature 38.2°C. (100.8°F). The UAP left the floor for a break after charting the results, but did not tell the nurse. Thirty minutes later the patient is found unresponsive and a code blue is initiated. Who is responsible for this patient’s deterioration of condition?

The patient who is admitted for surgery for resection of a malignant lung tumor has a living will. In addition to making sure a copy of the living will is included with the patient’s electronic medical record, which action does the nurse take?