Which infection control activity should the nurse delegate to an experienced unlicensed assistive personnel (UAP)?

Disinfecting blood pressure cuffs after clients are discharged.

Demonstrating correct hand washing to the client's visitors."

Asking clients about the use of immunosuppressant medications.

Screening clients for upper respiratory tract symptoms.

Answer and Explanation

The Correct Answer is A

A.   Disinfecting equipment is a routine infection control measure that UAPs can perform after receiving proper training on the protocol. This activity does not require clinical judgment and falls within the
UAP’s responsibilities.
B.   While UAPs may assist in educating visitors about hand hygiene, the demonstration of correct hand washing techniques is typically a nursing responsibility. Nurses are trained to provide this education effectively and ensure that the information is conveyed appropriately, especially since it may involve assessing visitors’ understanding.
C.   This task requires clinical judgment and assessment skills, which are within the nursing scope of practice. Nurses need to evaluate this information in the context of the client’s overall health and care plan, making it inappropriate for delegation to UAP.
D.   Screening for symptoms involves assessment and interpretation, which require a nursing level of knowledge and clinical judgment. While UAPs may collect basic data or report observations, actively screening clients for specific symptoms should be performed by a nurse.

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Correct Answer is C

Explanation

A. While track marks could indicate drug use, this alone does not necessitate a report to an outside agency unless there is evidence of harm to self or others, or if there are suspicions of a substance abuse issue that warrants intervention.

B. Emancipated minors have the legal right to make their own medical decisions, including refusing treatment. In this case, the nurse would ensure the patient is informed of the risks of leaving and document the refusal, but there’s no requirement to disclose to an outside agency.
C. A spiral fracture can be indicative of abuse, particularly if the mechanism of injury is not consistent with the explanation provided. In many jurisdictions, healthcare providers are mandated reporters for suspected abuse or neglect in dependent adults.
D. This situation typically does not involve any legal or ethical obligation to report to outside agencies. Glomerulonephritis is a medical condition and does not indicate any need for disclosure, as it does not suggest abuse or neglect.

A. Decrease collaboration between nurses at different levels. B. Increase delegation between nurses at different levels. C. Decrease the workload of low-risk tasks among licensed practical nurses (LPNs). D. Increase the workload of high-risk tasks among registered nurses (RNs).

Correct Answer is B

Explanation

A. Collaboration between nurses at different levels is essential for improving client outcomes. By working together, nurses can share their expertise and ensure that clients receive the best possible care.
B. By increasing delegation between nurses at different levels, RNs can focus on high-risk tasks that require their expertise, while LPNs can take on more routine tasks. This can help to improve efficiency and reduce the workload of RNs, leading to better client outcomes.
C. LPNs can safely and effectively perform many low-risk tasks, such as monitoring vital signs and administering medications. Decreasing their workload for these tasks would not necessarily improve client outcomes.
D. RNs should not be overburdened with high-risk tasks. By delegating appropriate tasks to LPNs, RNs can focus on high-risk tasks that require their expertise and ensure that clients receive the best possible care.

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Which infection control activity should the nurse delegate to an experienced unlicensed assistive personnel (UAP)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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