The nurse wants to delegate the Yankauer suctioning of a client to UAP. What will the nurse ensure that UAP know before delegating this activity?
1. How to apply suction during the insertion of the catheter.
2. Not to apply suction during the insertion of the catheter.
3. How to maintain sterile technique.
4. How to listen for lung sounds.
Correct Answer: 2
Rationale 1: The nurse would instruct not to apply suction during the insertion of the catheter.
Rationale 2: Oral suctioning using a Yankauer suction tube can be delegated to UAP, since this is not a sterile procedure. The nurse needs to review the procedure and important points, such as not applying suction during insertion of the tube to avoid trauma to the mucous membrane.
Rationale 3: Oral suctioning uses clean, not sterile, technique.
Rationale 4: The nurse should not delegate the auscultation of lung sounds to UAP.
You might also like to view...
A patient, age 34, is diagnosed with infective endocarditis. The nurse identifies the nursing diagnosis of Activity intolerance related to generalized weakness for him. Which intervention does the nurse plan while he is febrile?
a. Decreased activity b. Activity as tolerated c. Monitoring vital signs during ambulation d. Allowing moderate activity if heart rate is not above 100
Of the following groups, which are designations of race according the United States Census form?
a. Alaskan Native, White, Black, and Asian b. Black, White, Asian, and American Indian c. Caucasian, Pacific Islander, African-American, and Asian d. Negro, Caucasian, Asian and Hispanic
A female client scheduled for her first mammography needs the information that
a. no pain or discomfort is involved. b. results are available within 60 days. c. she cannot wear deodorant on the day of the test. d. the procedure takes 15 to 30 minutes.
A patient has been receiving treatment for status epilepticus for the last 20 minutes
What will the nurse prepare to implement to help the patient at this time? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Prepare for emergency intubation. 2. Insert an indwelling urinary catheter. 3. Monitor body temperature. 4. Obtain an order for a bedside electroencephalogram. 5. Insert an intravenous access line.