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.
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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Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
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.
Correct Answer is D
Explanation
A. Comprehension of simple commands might be seen in older infants or toddlers but is not specifically correlated with an infant searching for a fallen toy.
B. Ability to place objects in a container typically occurs in the sensorimotor stage but is not directly related to the scenario of an infant searching for a fallen toy.
C. Visible or audible separation anxiety is more common in younger infants when separated from their caregivers and doesn't directly correlate with an infant searching for an object.
D. Exploration beyond caregiver presence is characteristic of the sensorimotor stage in Piaget's theory, where infants develop object permanence and start to explore and search for objects beyond their immediate vicinity, such as a fallen toy.
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