The nurse working at a long-term care facility supervises while the unlicensed assistive personnel (UAP) bathes an older adult client. The nurse determines the UAP requires intervention when the UAP:
bathes the client using gentle patting motions.
places a large quantity of soap on the washcloth.
Inspects the feet while bathing the client.
tests the water temperature prior to helping the client into the tub.
The Correct Answer is B
A. Gentle patting (rather than vigorous rubbing) protects fragile, thinning skin in older adults and is appropriate.
B. Excessive soap can strip natural oils, leading to dryness, irritation, and potential skin breakdown in older adults; only a small amount of mild soap should be used.
C. Observing and reporting skin integrity (including the feet) is within the UAP’s role; detailed assessment or treatment remains the nurse’s responsibility, but inspection and reporting are appropriate.
D. Testing water temperature before assisting the client ensures safety and prevents burns, which is correct practice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Scrambled eggs with cheese are rich sources of protein, important for wound healing.
B. Cereal and milk contain some protein but generally less than eggs and cheese.
C. Pasta with Alfredo sauce is higher in carbohydrates and fats, with moderate protein.
D. Toasted bran muffin and jelly are mostly carbohydrates with minimal protein.
Correct Answer is C
Explanation
A. While pain can motivate protective behaviors, it does not directly increase personal strength.
B. Acute pain is a subjective experience but serves an important biological purpose.
C. Acute pain is protective because it warns an individual of tissue damage or disease, prompting actions to avoid further harm and seek treatment.
D. Pain is subjective, not objective, and while it can aid diagnosis, its primary role is protective rather than diagnostic.
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