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. Demonstrate how to use the equipment:
Not the first step-observe current technique before teaching.
B. Return the thermometer for recalibration:
May be necessary but only after confirming incorrect readings are not due to user error.
C. Show UAP how to chart temperatures:
Not relevant to low readings; focuses on documentation rather than accuracy.
D. Observe how UAP obtains temperatures:
First step-assess technique to determine if error is due to improper use or faulty equipment.
Correct Answer is C
Explanation
A. Cornstarch: Not used; may harbor bacteria and irritate the skin.
B. Petroleum jelly: Can interfere with the adherence of the colostomy pouch seal.
C. Stoma adhesive product: Creates a protective barrier to prevent skin breakdown and ensures a secure pouch seal.
D. Antiseptic cream: Can be irritating to peristomal skin and interfere with pouch adhesion.
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