A nurse on the surgical floor has several clients who had surgery during the day. Which of the following actions can this nurse delegate to unlicensed assistive personnel (UAP)? (Select all that apply.)
a. Encouraging the use of the incentive spirometer
b. Outlining drainage present on dressings
c. Providing comfort measures
d. Recording output from drains
e. Taking vital signs
A, C, D, E
Once the client has been taught the use of the incentive spirometer and the nurse has completed a respiratory assessment, the UAP can encourage the client to use the device and reinforce correct technique. The UAP can provide nonpharmacologic comfort measures such as back rubs or posi-tioning and can assist with surveillance for pain relief. The nurse should ensure that drains are secured and appropriately labeled; then the UAP can empty and record the drainage. The nurse should instruct the UAP on frequency of drain emptying and on the frequency of vital signs, which is also within the scope of a UAP's practice. However, the registered nurse should assess all drainage on dressings and outline the amount to establish a baseline. New or increased drai-nage is immediately reportable by the UAP to the RN.
You might also like to view...
What drug administered by the nurse belongs to the group of Carbapenems?
A) Primaxin B) Gemifloxacin C) Demeclocycline D) Cefuroxime
The nurse is discussing infant care as part of the mother-infant's couplet discharge planning
The mother asks the nurse "When will my baby's cord fall off?" The nurse responds, "Your baby's cord should fall off by _______________ after birth." Fill in the blank(s) with correct word
A nurse is describing histrionic personality disorder to a group of new nurses. Which term would the nurse most likely use?
A) Attention seeking B) Psychopath C) Sociopath D) Lacking empathy
A previously toilet trained toddler has started wetting again. A nurse is gathering a health history from the grandparent. Which health history finding will the nurse most likely consider as the cause of the wetting?
a. Dietary changes b. Recent parental death c. Playmate moved away d. Sibling was sick 2 days