A nurse is caring for a client who has a wound infection. Which tasks can the nurse delegate to the unlicensed assistive personnel (UAP)? (SELECT ALL THAT APPLY)
Assessing the wound
Emptying the urine from the indwelling catheter bag
Documenting the client's response to the antibiotic
Taking an oral temperature.
Checking for tunneling with a cotton tipped applicator
Correct Answer : B,D
A. Assessing the wound requires specialized training and should be performed by licensed nursing personnel.
B. Emptying the urine from the indwelling catheter bag is within the scope of practice for UAP.
C. Documenting the client's response to the antibiotic requires interpretation and assessment, which should be done by licensed nursing personnel.
D. Taking an oral temperature is within the scope of practice for UAP.
E. Checking for tunneling with a cotton-tipped applicator requires specialized training and should be performed by licensed nursing personnel.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
A. Room number is not typically considered one of the "rights" associated with medication administration.
B. Prescriber is not typically considered one of the "rights" associated with medication administration.
C. Documentation: documenting the medication administration is essential for accountability and continuity of care.
D. Dose: verifying the correct dosage is another crucial "right" to prevent medication errors.
E. Assessment: assessing the client's condition and suitability for the medication is also a vital aspect of medication administration.
Correct Answer is D
Explanation
A. Remodeling is the final phase of wound healing characterized by tissue remodeling and maturation.
B. Infection is characterized by localized or systemic signs of infection, such as fever, redness, warmth, and purulent drainage.
C. Proliferation involves the formation of granulation tissue, angiogenesis, and epithelialization.
D. Generalized body responses such as fever and malaise are common in the inflammatory phase of healing, which occurs shortly after injury and involves inflammation and immune response to clear debris and pathogens.
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