The registered nurse is planning the client assignments for the day. What is the most appropriate assignment for Unlicensed Assistive Personnel (UAP)?

Choice A reason: Grouped vesicles on the genitalia are not a typical presentation of shingles, but a sign of genital herpes, which is a sexually transmitted infection caused by a different type of herpes virus.

Choice B reason: Hematoma on upper right arm is not a common presentation of shingles, but a sign of bleeding or bruising under the skin, which may be caused by trauma, injury, or coagulation disorders.

Choice C reason: Group of vesicles in linear patches along the spinal nerves is a classic presentation of shingles, as it indicates the reactivation of the varicella-zoster virus, which causes chickenpox in childhood and remains dormant in the nerve cells. The virus can cause a painful rash that follows the distribution of the affected nerves, usually on one side of the body.

Choice D reason: Group of vesicles occurring on the lips and oral mucous membranes are not a characteristic presentation of shingles, but a sign of oral herpes, which is a common infection caused by a different type of herpes virus.

Choice E reason: None of the above is not a correct choice, as there is one option that matches the presentation of shingles

Choice A reason: Client with difficulty swallowing food and fluids who requires assistance with feeding is not an appropriate assignment for UAP. This client is at risk of aspiration and needs close monitoring and intervention by a licensed nurse.

Choice B reason: Client requiring a colostomy irrigation is not an appropriate assignment for UAP. This is a sterile procedure that involves inserting a catheter into the stoma and instilling fluid to flush out the bowel. This requires advanced skills and knowledge that are beyond the scope of practice of UAP.

Choice C reason: Client requiring vital signs immediately following open heart surgery is not an appropriate assignment for UAP. This client is in a critical condition and needs frequent and accurate assessment and evaluation by a licensed nurse.

Choice D reason: Client requiring a urine specimen collection is the most appropriate assignment for UAP. This is a routine and non-invasive task that can be delegated to UAP under the supervision of a licensed nurse.