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 A

Explanation

A. This statement is the most appropriate for an incident occurrence report. It provides a factual, objective description of what was observed without inferring causes or making assumptions about the patient’s actions. Clear documentation is critical in incident reports for accuracy and potential follow-up.
B. This statement includes assumptions about the patient's motivations and actions. It is speculative and not based on direct observation. Incident reports should avoid subjective interpretations and focus on what can be objectively verified.
C. Although this statement describes a potential scenario, it assumes that the patient was walking to the bathroom and that this was the cause of the fall. Since the nurse did not witness the event, this could be misleading and should be avoided in an incident report.
D. While documenting patient statements can be important, this particular comment is subjective and does not provide an objective account of the incident. It could also lead to potential blame without verifying the accuracy of the statement, which could complicate the report.

A. The nurse is likely not liable because surgery is beyond the nurse's scope of practice. B. The nurse is not likely liable because the signature only specifies that the nurse witnessed the client signing the consent form. C. The nurse may be liable because cosigning the consent form makes the nurse an equal member of the surgical team. D. The nurse is liable because cosigning the consent form confirms that the client fully understood the risks of surgery

Correct Answer is B

Explanation

A. While it’s true that surgery itself is beyond the nurse's scope of practice, liability can still arise from the actions taken in relation to the consent process. The issue is not about the surgery itself but about the responsibility associated with witnessing the consent.
B. The nurse’s role in this context is to witness the client’s signature, not to guarantee the client’s understanding of the procedure or the risks involved. The witness signature generally indicates that the nurse observed the client signing the document but does not imply that the nurse ensured the client understood all aspects of the surgery.
C. Cosigning a consent form does not make the nurse an equal member of the surgical team in terms of decision-making or responsibilities. The nurse's role as a witness is limited to observing the signing process.
D. The nurse’s signature does not imply that they confirmed the client's understanding of the risks involved. The responsibility for explaining the risks and ensuring the client’s understanding typically falls to the physician or surgeon.

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

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

The preoperative admitting nurse witnessed a client sign an operative consent form. The nurse then cosigned the same document as a witness. The client suffered an injury during surgery and names the nurse in the suit because the nurse witnessed the consent form. What is the most likely outcome?.

Correct Answer is B

Explanation

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