The nurse delegated an unlicensed assistive person (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 of the following must the nurse emphasize to the UAP? 1. Make the client do most of the procedure and report the expected output.
2. If there are any unusual observations during the procedure, such as bleeding or signs of infection, call the nurse immediately.
3. The nurse should demonstrate the steps of the procedure.
4. The UAP should do health teaching while performing the procedure.
2. If there are any unusual observations during the procedure, such as bleeding or signs of infection, call the nurse immediately.
Rationale:
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, so the nurse should not need to demonstrate it. Health teaching is outside of the scope of practice for the UAP.
You might also like to view...
The nurse assigns patient care to nursing assistive personnel (NAP). Which wound care tasks should the nurse assign to this staff member?
a. Apply the hydrocolloid dressing. b. Assess dimensions of the wound. c. Report visible drainage on the dressing. d. Change the first postoperative dressing.
A drain is inserted into a wound. What is its purpose?
a. The nurse administers drugs through the drain. b. Drainage leaves the wound through the drain. c. It is used to measure wound depth. d. It is used to measure wound size.
A client reports severe pain 2 days after surgery. Which INITIAL action should the nurse take after assessing the character of pain?
a) encourage rest b) obtain the vital signs c) administer the prn analgesic d) document the client's pain response
A 40-year-old married female, admitted for depression, has been refusing to get out of bed. The primary nurse will implement a behavioral approach by saying:
1. "Tell me about your earliest memory of your mother." 2. "I will call the psychiatrist to do a medication evaluation for you." 3. "Come and spend time with me. We can discuss how you're feeling." 4. "When you are able to be up and dressed, we will increase your unit privileges."