In caring for a client following a below-the-knee amputation, which task is best for the practical nurse (PN) to assign to the unlicensed assistive personnel (UAP) who is assisting with the care of this client?
Review the client's vital signs for indications of infection.
Reassure the client that phantom limb pain is genuine pain.
Observe and mark the amount of drainage on the dressing.
Empty and measure the drainage in the suction drainage device.
The Correct Answer is D
A. Review the client's vital signs for indications of infection:
Interpreting vital signs requires nursing judgment; not a UAP task.
B. Reassure the client that phantom limb pain is genuine pain:
Providing emotional reassurance is within the PN’s role, not UAP’s.
C. Observe and mark the amount of drainage on the dressing:
Assessment and documentation are PN responsibilities.
D. Empty and measure the drainage in the suction drainage device:
UAPs can perform this task under direction since it is a measurable, routine activity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Has your child had a recent fall or injury to the head?":
This might be relevant for neurological injury but is unrelated to rheumatic fever etiology.
B. "Does anyone in the household smoke cigarettes?":
Smoking is not linked to rheumatic fever development.
C. "Does your child use insect repellent while outdoors?":
This relates to insect-borne diseases, not rheumatic fever.
D. "Has your child had a sore throat in the last 2 or 3 weeks?":
Rheumatic fever often follows an untreated group A streptococcal infection, typically presenting as sore throat.
Correct Answer is D
Explanation
A. Inform the manager that the facility will have to assume responsibility for incidents related to staffing: This is confrontational and does not address immediate care needs.
B. Refuse to take charge and go home rather than risk working in an unsafe situation: Abandoning patients is unethical and could have legal consequences.
C. Assign some tasks usually performed by the additional PN to the UAP who is normally on the wing: UAPs cannot legally take on PN duties; this is unsafe.
D. Prioritize assessment of safety issues in addition to administration of daily medication: When short-staffed, prioritize safety and essential tasks to ensure client well-being.
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