A nurse collaborates with an unlicensed assistive personnel (UAP) to provide care for a client with congestive heart failure. Which instructions should the nurse provide to the UAP when delegating care for this client? (Select all that apply.)
a. "Reposition the client every 2 hours."
b. "Teach the client to perform deep-breathing exercises."
c. "Accurately record intake and output."
d. "Use the same scale to weigh the client each morning."
e. "Place the client on oxygen if the client becomes short of breath."
ANS: A, C, D
The UAP should reposition the client every 2 hours to improve oxygenation and prevent atelectasis. The UAP can also accurately record intake and output, and use the same scale to weigh the client each morning before breakfast. UAPs are not qualified to teach clients or assess the need for and provide oxygen therapy.
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