The nurse delegated unlicensed assistive personnel (UAP) to assist a client with performing a simple dressing change. The client was formerly able to do the procedure, but because of painful arthritis is now unable to perform the redressing
The UAP has done this procedure before. Which must the nurse emphasize to the UAP?
A) Report to the nurse immediately anything unusual, such as bleeding or infection.
B) The nurse should demonstrate the steps of the procedure.
C) Make the client do most of the procedure and report the expected output.
D) The UAP should do health teaching while performing the procedure.
Answer: A
Explanation: A) The nurse delegated a specific legal task to the UAP, which is within the scope of the UAP's ability. The nurse established the particular parameters outside of which immediate notification is requested. If in pain, the client should not have to do any of the procedure. If the UAP has done the procedure before, the nurse should not need to demonstrate it. Health teaching is outside of the scope of practice for the UAP.
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