Which assignment is best for the practical nurse to assign to the unlicensed assistive personnel (UAP)?

Evaluate the client's understanding of discharge instructions following a colonoscopy.

Encourage an elderly client who was admitted for dehydration to increase intake of oral fluids.

Measure the urinary output of a client who is receiving diuretics for congestive heart failure.

Check a client's femoral dressing for signs of bleeding after a cardiac catheterization.

Answer and Explanation

The Correct Answer is C

A.   Evaluating a client's understanding of discharge instructions typically requires a nursing assessment and explanation, more suitable for a licensed nurse.
B.   Encouraging fluid intake might involve assessing the client's condition and providing specific advice, which aligns more with the responsibilities of a licensed nurse.
C.   Measuring urinary output is a task that falls within the scope of practice for unlicensed assistive personnel (UAP), as it involves routine data collection and does not require clinical judgment.
D.   Checking a client's femoral dressing after a cardiac catheterization requires observation for signs of bleeding, which involves assessment and potential interventions beyond the UAP's scope of practice.

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Correct Answer is C

Explanation

A. Assess her feelings about therapeutic abortions in the event the infant has been affected. - While important to address concerns, the immediate priority is to manage the current outbreak and prevent transmission.
B. Identify current sexual partners so that they can be evaluated and treated for genital herpes if necessary. - Contact tracing is important but not the highest priority in managing the current outbreak.
C. Instruct her to avoid sexual intercourse while active, visible lesions are present. - This is crucial to prevent transmission of the herpes virus to the sexual partner and to reduce the risk of complications for the pregnancy.
D. Determine if the client has taken acyclovir for this outbreak of genital herpes. - While important for understanding the treatment history, instructing the client on preventive measures has a higher priority.

A. The UAPS keep their backs straight and knees bent when moving the client. B. A turning sheet is used under the client for turning and repositioning. C. An abduction pillow is placed between the client's legs when positioned. D. The client is told to keep both legs straight and together while turning.

Correct Answer is D

Explanation

A. The UAPs keep their backs straight and knees bent when moving the client. - This indicates the UAPs are following proper body mechanics for moving the client safely.

B. A turning sheet is used under the client for turning and repositioning. - Using a turning sheet aids in reducing friction and facilitating smooth turning, indicating familiarity with proper
procedures.

C. An abduction pillow is placed between the client's legs when positioned. - This indicates awareness of the need to maintain proper positioning and prevent dislocation after hip surgery.

D. The client is told to keep both legs straight and together while turning. - After a hip arthroplasty, it's crucial to avoid certain movements like keeping both legs straight, as this can stress the hip joint or prosthesis, indicating a need for additional information about proper post-operative positioning.

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Which assignment is best for the practical nurse to assign to the unlicensed assistive personnel (UAP)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During the first trimester of pregnancy, a client who was treated for genital herpes with acyclovir prior to this pregnancy tells the practical nurse (PN) that she is experiencing an episode of genital herpes. Which nursing intervention has the highest priority?

Correct Answer is C

Explanation

The practical nurse (PN) observes two unlicensed assistive personnel (UAP) turning an older client who had a hip arthroplasty with prosthesis placement four hours ago. Which observation by the PN indicates that the UAPS needs additional information about the turning procedure?

Correct Answer is D

Explanation

The practical nurse (PN) observes a client's initial postoperative dressing and drain as seen in the picture. Which follow-up actions should the PN implement? (Select all that apply.)

A female client with immune thrombocytopenic purpura (ITP) is transferred to a long-term care facility for physical rehabilitation. To prevent injury, which action is most important for the practical nurse to implement?

During the first trimester of pregnancy, a client who was treated for genital herpes with acyclovir prior to this pregnancy tells the practical nurse (PN) that she is experiencing an episode of genital herpes. Which nursing intervention has the highest priority?

The practical nurse (PN) is assisting with preparation of a client for fecal diversion surgery. While inserting an indwelling urinary catheter, the client asks if the surgical opening will be visible. Which action should the PN implement?

The practical nurse (PN) determines that a client who is one day postpartum has a moderate amount of lochia rubra and the uterus is firm, dextroverted, and three fingerbreadths above the umbilicus. Which should be the PN's initial action?

A chronically depressed older male resident of a long-term care facility has become more reclusive and today refuses to leave his room. His family has away and are unable to visit as much as in the past. Which comment by the practical nurse (PN) is likely to be most helpful to this client?

Which statement by a mature adult client with advanced prostate cancer best indicates that he has reached a level of acceptance of his prognosis?

An older male client who fell down several stairs 4-hours ago is scheduled for magnetic resonance imaging (MRI). What information should the practical nurse (PN) obtain from the client?