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An unlicensed assistive personnel (UAP) is completing an orientation assignment and is caring for a client who needs assistance with bathing.

What is the best way for the practical nurse (PN) to evaluate this UAP's performance?

A.

Ask another UAP to help the orientee to ensure satisfactory care

B.

Verify with the client that the bath was complete and thorough

C.

Inspect the client's skin near the end of the bathing procedure

D.

Observe the UAP's technique and communication skills during the bath

Answer and Explanation

The Correct Answer is D

Observe the UAP's technique and communication skills during the bath.

The PN should directly observe the UAP's performance and provide feedback and guidance as needed. This can help ensure that the UAP follows the standards of care and respects the client's dignity and preferences.

The other options are not correct because:

  1. Asking another UAP to help the orientee may not be appropriate or necessary, as it may interfere with the orientation process and create confusion or conflict.
  2. Verifying with the client that the bath was complete and thorough may not be sufficient or reliable, as the client may not be able to assess the quality of care or may not want to complain.
  3. Inspecting the client's skin near the end of the bathing procedure may not be timely or comprehensive, as it may miss some aspects of care or some problems that occurred during the bath.


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Related Questions

Correct Answer is B

Explanation

This is the best intervention for the PN to implement because it relieves the muscle spasm and reduces the pain of a leg cramp. Leg cramps are common during pregnancy and labor due to changes in calcium levels, fluid balance, or pressure on nerves and blood vessels.

A. Massaging the calf and foot is not recommended because it may increase pain or cause injury to the muscle or nerve.

C. Checking the pedal pulse in the affected leg is not necessary unless there is a suspicion of vascular compromise or thrombosis, which are unlikely causes of a leg cramp.

D. Elevating the leg above the heart is not helpful because it may impair blood flow or increase pressure on the nerve or muscle.

Correct Answer is B

Explanation

The PN should not prioritize bringing a glucometer to the room in this situation. The client's unresponsiveness indicates a potential medical emergency that requires immediate action, and checking blood glucose levels is not the primary concern at this moment.

Choice C rationale:

Feeling for a carotid pulse is an essential step in assessing the client's circulation. However, it is not the first priority when the client is unresponsive. The PN should focus on obtaining emergency help first to ensure timely intervention.

Choice D rationale:

Checking the blood pressure can provide valuable information about the client's condition, but it is not the most critical step when dealing with an unresponsive client. Promptly seeking emergency assistance is more important to address the immediate concern.

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