The nurse is delegating care of a patient with a chronic nonsterile wound to a UAP. The delegation is inappropriate if:
a. the nurse asks the UAP to assess the wound.
b. the nurse asks the UAP to report increased wound drainage.
c. the nurse asks the UAP to observe changes in dietary intake.
d. the nurse asks the UAP to change the dressing.
ANS: A
Assessment and evaluation of a patient's skin and wounds, and the effectiveness of the treatment plan, are a nurse's responsibility and cannot be delegated to unlicensed assistive personnel (UAP). UAP should report to the nurse any changes in skin condition or integrity; elevation in temperature; complaints of pain; increased wound drainage or incontinence; and observed changes in dietary intake. Some dressing changes can be performed by UAP in some situations.
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