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 C
Explanation
A. The nurse manager is not responsible for obtaining informed consent.
B. Nurses cannot obtain informed consent for procedures; this is the provider’s responsibility.
C. It is the health care provider’s legal and ethical responsibility to obtain informed consent from the client.
D. Calling the house officer may delay care and is not appropriate if the provider performing the procedure is available.
Correct Answer is B
Explanation
A. While some enteric-coated capsules should not be opened, this Answer is too limited and not as universally applicable as option B.
B. Enteric-coated drugs should not be chewed or crushed because the coating is designed to protect the drug from stomach acid and to ensure it is absorbed in the intestines. Chewing or crushing it would destroy this protective barrier.
C. Not all enteric-coated medications are available in liquid form, so this is not a reliable or general instruction for clients.
D. Cutting enteric-coated drugs into smaller pieces would compromise the coating, just like crushing or chewing, and should be avoided.
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