The nurse is working with an unlicensed assistive personnel (UAP) in a long-term care facility. Which tasks can the nurse delegate to the UAP? Select all that apply
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
Correct Answer: 1,3,4
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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A 52-year-old female patient is seeing the nurse on the oncology unit for pain control related to breast cancer that has metastasized to her lungs and liver. The nurse wants to prevent further pain and is aware that:
A) Cancer pain is often related to the stress of the patient knowing he or she has cancer and requires a very low dose of pain medications along with a high dose of anti-anxiety medications. B) Cancer pain is always chronic and difficult to treat so distraction is often the best intervention. C) Cancer pain can be acute or chronic; it may even be the result of the cancer treatment and usually requires high doses of pain medications. D) Cancer patients often misreport pain because of confusion related to their disease process.
The nurse is observing a child with sickle cell disease. Dehydration is a common problem encountered in this disease. The nurse will observe for which of the following symptoms of dehydration:
a. Slow, pounding pulse b. Weight gain c. Increased urination d. Depressed fontanels
The temperature of a warm moist compress should be
A) 95 degrees F. B) 105 degrees F. C) 115 degrees F. D) 140 degrees F.
Some persons may develop bloody diarrhea with hemolytic anemia and kidney failure from eating incompletely cooked hamburgers. Which organism is responsible for the illness?
A. Salmonella B. Shigella C. Toxin-producing E. coli D. Pathogenic clostridium