A new unlicensed assistive personnel (UAP) is completing an orientation assignment and is caring for an immobilized client who needs a complete bed bath. Which is the best way for the practical nurse (PN) to evaluate this UAP's performance?
Inspect the client's skin near the end of the bathing procedure.
Verify with the client that the bath was complete and thorough.
Request the UAP to report and chart when the bath is complete.
Ask another UAP to help the orientee ensure satisfactory care.
The Correct Answer is A
Inspecting the client's skin near the end of the bathing procedure allows the PN to directly assess the UAP's performance and evaluate the effectiveness of the bed bath. By observing the client's skin, the PN can determine if the UAP has properly cleaned and cared for the client's skin, identified any areas that may have been missed, and ensured that proper hygiene practices have been followed.
B. While verifying with the client that the bath was complete and thorough is important for client satisfaction, it may not provide a comprehensive evaluation of the UAP's performance. Clients may not be aware of all the necessary steps involved in a complete bed bath, so their perception may not accurately reflect the quality of the UAP's work.
C. Requesting the UAP to report and chart when the bath is complete is a useful documentation practice, but it does not provide a direct evaluation of the UAP's performance during the bed bath.
D. Asking another UAP to help the orientee may be helpful for providing guidance and support during the orientation process, but it does not provide a specific evaluation of the UAP's performance in completing the bed bath.
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Correct Answer is D
Explanation
Cotton is the most suitable fabric for individuals with eczema due to its breathability and hypoallergenic properties.
why the other choices are not the best recommendation:
A.Polyester: Polyester is a synthetic fabric that is not as breathable as natural fibers like cotton. It can trap heat and moisture, potentially exacerbating eczema symptoms and causing discomfort.
B.Silk: While silk is a natural fabric that can feel soft and luxurious, it is not the best choice for individuals with eczema. Silk may cause skin irritation and is not as breathable as cotton.
C.Rayon: Rayon is a semi-synthetic fabric made from cellulose fibers. It can be comfortable and breathable, but it may not be as hypoallergenic as cotton. Some individuals with sensitive skin may still experience irritation when wearing rayon.
Correct Answer is B
Explanation
Stomatitis refers to the inflammation of the mouth and oral mucosa, which can cause pain and difficulty swallowing. In the context of a client receiving chemotherapy, stomatitis is a common side effect that can occur due to the effects of chemotherapy on rapidly dividing cells, including those in the oral cavity. When a client develops stomatitis, it is important for the practical nurse (PN) to obtain information about the client's ability to swallow during a focused assessment. This is because stomatitis can significantly impact a client's ability to eat and drink comfortably, which can lead to dehydration and malnutrition. Assessing the client's ability to swallow helps determine the extent of the issue and guides appropriate interventions and support.
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