The nurse is caring for a postoperative client with an abdominal wound and a drain. What can the nurse delegate to unlicensed assistive personnel?
1. Clean the wound.
2. Assess the skin around the wound.
3. Determination of effectiveness of pain medication.
4. Report if the dressing is soiled.
5. Report if the dressing is loose.
Correct Answer: 4,5
Rationale 1: Cleaning a newly sutured wound, especially one with a drain, requires application of knowledge, problem solving, and aseptic technique. This procedure should not be delegated to UAP.
Rationale 2: The nurse is responsible for assessment of the wound.
Rationale 3: The nurse is responsible for evaluation of medication provided.
Rationale 4: The nurse can ask the UAP to report soiled dressings that need to be changed.
Rationale 5: The nurse can ask the UAP to report if the dressing is loose and needs to be reinforced.
You might also like to view...
What would the nurse consider an indication for the use of antacids? (Select all that apply.)
A) Gastric hyperacidity B) Gastritis C) Peptic esophagitis D) Hiatal hernia E) Duodenal ulcer
It is ultimately beneficial for a student to relieve the stress of a situation by telling himself, "I just don't get this" or "I can't do this" to be able to avoid the guilt associated with not completing the task
Indicate whether the statement is true or false
The nurse is presenting a program to residents of a local senior citizen housing facility about preparations in the event of a disaster. What should the nurse instruct the participants to do regarding essential preparations?
1. Have a list of medications, emergency contact numbers, and necessary survival items readily available. 2. Turn off all electrical devices before leaving the premises. 3. Pack enough nonperishable food items to last for several days. 4. Bring recreational items such as puzzles and card games for entertainment.
Why is hormone pharmacotherapy prescribed for clients? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected
1. Therapeutic advantage 2. Exaggerated response 3. Replacement therapy 4. Antineoplastic effect 5. Antihyperlipidemic effect