During morning care, unlicensed assistive personnel observe a client's abdominal wound dressing become saturated with bright red blood. What should unlicensed assistive personnel do?
1. Reinforce the wound with supplies on the client's bedside table.
2. Document that the bath was completed, and the condition of the dressing.
3. Complete the bath, then report the change to the nurse.
4. Report the dressing changes to the nurse immediately.
Correct Answer: 4
Rationale 1: UAP are not trained to reinforce dressings. This should not be done.
Rationale 2: UAP should not document that the bath was completed before communicating the dressing changes to the nurse.
Rationale 3: UAP should not complete the bath first.
Rationale 4: When delegating the care of the client to the UAP, the nurse should have provided direction to the UAP to report any changes to the nurse. UAP should report the dressing changes to the nurse immediately.
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