The practical nurse (PN) is observing a newly hired unlicensed assistive personnel (UAP) bathing a client who has type 2 diabetes mellitus (DM). The UAP places the client's feet in a wash basin filled with warm soapy water to soak. Which action should the PN take?

Make sure UAP has changed gloves.

Tell the UAP not to soak the feet.

Check the client's feet before soaking.

Test the temperature of the water.

Answer and Explanation

The Correct Answer is B

A. Changing gloves is important for infection control, but in this context, the main issue is with the technique being used for the client's feet.
B. Soaking the feet is not recommended for clients with diabetes due to the risk of skin damage and infection; it is better to wash the feet gently and inspect them regularly.
C. Checking the client’s feet is important but should be done before washing or soaking, and the main concern here is not to soak the feet at all.
D. While testing water temperature is crucial for safe bathing, the more pressing issue here is the method of foot care for a diabetic client, which is not to soak the feet

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Correct Answer is B

Explanation

A. Assisting a client with urinary urgency and incontinence with a bedpan is a basic care task that the UAP can perform under supervision.
B. A client with continuous urinary bladder irrigation via a 3-way catheter requires tasks that involve monitoring and potentially troubleshooting the system, which are within the PN's scope of practice and not appropriate for a UAP.
C. Changing a urinary condom catheter is a routine task that can be performed by a UAP, as it does not require complex decision-making or assessment skills.
D. Managing a full urinary bedside drainage unit after receiving a diuretic is a task that the UAP can handle as long as there are no specific complications or concerns to address.

A. Re-lubricate the tubing and re-insert it. B. Insert the tubing an additional three inches into the rectum. C. Raise the saline container six inches higher. D. Instruct the client to take several slow, deep breaths.

Correct Answer is B

Explanation

A. Re-lubricating the tubing and re-inserting it is unnecessary if the enema solution is not infusing; the primary issue is likely related to the tubing's position or the height of the container.
B. Inserting the tubing an additional three inches into the rectum ensures that it is positioned correctly for the solution to flow. If the tubing is not inserted far enough, the solution may not enter the rectum.
C. Raising the saline container higher is not needed since it is already six inches above the client’s body. The problem is more likely related to the tubing’s depth rather than the height of the container.
D. Instructing the client to take deep breaths does not affect the infusion of the enema solution. The solution's flow is influenced by the mechanics of the enema administration, not by the client’s breathing.

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The practical nurse (PN) is observing a newly hired unlicensed assistive personnel (UAP) bathing a client who has type 2 diabetes mellitus (DM). The UAP places the client's feet in a wash basin filled with warm soapy water to soak. Which action should the PN take?

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Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is assigning tasks to an unlicensed assistive personnel (UAP) who is giving basic care to a group of residents in a long-term care facility. Which client's task should be completed by a PN, rather than the UAP?

Correct Answer is B

Explanation

When administering a saline enema, the practical nurse (PN) inserts the enema tubing three inches into the client's rectum, and elevates the container six inches above the client's body. When the clamp is opened, the solution does not infuse. Which action should the PN take?

Correct Answer is B

Explanation

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