The nurse is working with unlicensed assistive personnel (UAP) in a long-term care facility. Which tasks can the nurse delegate to the UAP?
1. Administering an enema to a stable client
2. Removing a fecal impaction for an unstable client
3. Assisting a client to perform ostomy care after hand surgery
4. Helping a client onto a bedpan
5. Assessing skin during an ostomy appliance change
1, 3, 4
Rationale 1: The UAP can administer most enemas.
Rationale 2: The UAP cannot remove an impaction.
Rationale 3: The UAP can assist a client to perform ostomy care if the ostomy is not new.
Rationale 4: The UAP can help a client onto a bedpan.
Rationale 5: The UAP cannot assess a client's skin during an ostomy appliance change.
Global Rationale: The UAP can administer most enemas, assist a client to perform ostomy care if the ostomy is not new, and help a client onto a bedpan. The UAP cannot remove an impaction nor can the UAP assess a client's skin during an ostomy appliance change.
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What is a chemically impaired nurse?
What will be an ideal response?