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.

Answer and Explanation

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 B

Explanation

Antiplatelet medications, such as aspirin or clopidogrel, are prescribed to prevent the formation of blood clots by inhibiting platelet aggregation. These medications can increase the risk of bleeding or prolonged bleeding time. Therefore, when removing the saline lock, applying pressure over the site for several minutes helps to minimize the risk of bleeding and promote hemostasis.
A. Leaving the saline lock in place and notifying the charge nurse may not be necessary unless there are specific concerns or complications related to the client's condition.
C. Encouraging the client to drink additional oral fluids is not directly related to the discontinuation of the saline lock and the potential risk of bleeding associated with antiplatelet medication.
D. Preparing a warm pack to apply after removing the lock is not necessary for this situation. Warm packs are typically used for comfort or to promote circulation, but they are not directly related to the risk of bleeding associated with antiplatelet medication.

A. Ask the client if she has previously been catheterized. B. Consult with the charge nurse about the catheter. C. Obtain a 30 mL syringe and a vial of sterile water. D. Position the client and observe the urinary meatus. E. None F. None

Correct Answer is B

Explanation

A. Asking the client about previous catheterizations is part of assessment, but it is not the priority when the catheter size and balloon volume may be inappropriate for the client. Safety and appropriateness must be confirmed first.

B. The #18 catheter with a 30 mL balloon is larger than typically recommended for a female client, especially one weighing 50 kg. The PN should consult the charge nurse before proceeding to ensure the correct catheter size and balloon volume are used to prevent urethral trauma.

C. Obtaining the syringe and sterile water is necessary for insertion but is not the first step if the catheter itself may be unsafe for the client. Ensuring correct equipment comes first.

D. Positioning the client and observing the urinary meatus is part of the procedure but should not be done before confirming that the catheter size and balloon volume are appropriate.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In preparing to discontinue a client's saline lock, the practical nurse (PN) notes that the client is receiving an antiplatelet medication. Which action should the PN implement?

Correct Answer is B

Explanation

The charge nurse brings a #18 urinary catheter with a 30 mL balloon to the practical nurse (PN) who is preparing to insert a catheter in a female client who weighs 50 kg. Which action should the PN take first?

Correct Answer is B

Explanation

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