A hospitalized older adult has been assessed at high risk for skin breakdown. Which actions does the registered nurse (RN) delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)

a. Assess skin redness when turning.
b. Document Braden Scale results.
c. Keep the client's skin dry.
d. Obtain a pressure-relieving mattress.
e. Turn the client every 2 hours.


ANS: C, D, E
The nurses' aide or UAP can assist in keeping the client's skin dry, order a special mattress on direction of the RN, and turn the client on a schedule. Assessing the skin is a nursing responsibility, although the aide should be directed to report any redness noticed. Documenting the Braden Scale results is the RN's responsibility as the RN is the one who performs that assessment.

Nursing

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