Which assignment would be appropriate for the nurse to delegate to an unlicensed assistive personnel UAP?

A nursing student is discussing the delegation of tasks to an unlicensed assistive personnel (UAP) with a preceptor. Which task assigned to the UAP by the student indicates that the student is confused about delegation and needs help?

Provide discharge teaching

The UAP cannot perform teaching associated with assessments or evaluations that might be needed at discharge. Discharge teaching is done initially by the registered nurse (RN) and may be reinforced by the practical nurse (PN).

Which statement should a nurse use to give an assignment to an unlicensed assistive personnel (UAP) to help a client ambulate for the first time after a colon resectionh

"Have the client sit on the side of the bed for 3 to 5 minutes before standing."

This statement gives clear directions to the UAP about the task and is most closely associated with the information in the stem. This is the client's first time out of bed after surgery. The other actions are either incorrect or too general for delegation.

A nurse assigns an unlicensed assistive personnel (UAP) to care for a client with a musculoskeletal disorder. The client ambulates with a leg splint. Which activity should the UAP be involved with?

Assist the client to transfer from a bed to a chair

UAPs are usually invoved in routine activity needs of clients. These routine tasks typically have predictable outcomes. One option requires a higher level of thinking to screen for abnormal findings. The option to encourage independencwe would not nessarily have a predictable outcome.

The practical nurse (PN) is caring for a client in isolation. Which task should the PN assign to an unlicensed assistive ersonnel (UAP)?

Reinforce isolation precautions to any visitors

The UAP may reinforce to any visitors the basic principles of isolation requires for clients. The key word is 'reinforce' and not teach. Note the other verbs are not associated with actions of a UAP.

A practical nurse (PN) from the pediatric is assigned to work in a critical care unit. Which of these clients might the PN offer to be assigned to provide care.

A young adult client who is in skeletal traction after a motor vehicle accident

This client is the most stable with a predictable outcome and mimimal risk of instability. Use the guideline when delegating to reassigned personnel.

When walking past a client's room, a nurse hears an unlicensed assistive personnel (UAP) talking to another UAP. Which one of these statements requires further intervention by the nurse?

"Since i am late for lunch , would you do my client's accucheck glucose test?"

Only registered nurses (RNs) and practical nurses (PNs) can delegate to each other or the UAPs cannot delegate to other UAPs.

To whom should the measurement and documentation of vital signs in a long-term care facility be assigned?

Unlicensed assistive personnel (UAP)

The measurement and documentation of vital signs which are routine tasks may be delegated to a UAP. Considerations for assigning care to UAPs would be: who is capable and is the least expensive worker to do tasks that are routine and have predictable outcomes?

A nurse has been assigned to four residents. Which clients should be seen first on the initial shift rounds?

An 81 years-old female with a history of coronary artery disease (CAD) reported to have had dyspnea, and unusual discomfort in the upper back

These finding suggest a myocardial infarction (MI). Older adults and woman of any age may not always may not always have the classic finding s of chest, inner arm, or jaw pain, numness or tingling of the left arm. In one option the stress of a tragic event can elevate BP temporarily. In another option the water pill, a diuretic, should increase urinary

A nurse is assigned to care for these four clients on the 7am to 7pm shift. Which clients should be checked immediately after the receipt of the shift report? A client diagnosed with

A peptic ulcer and has been vomiting throughout the night

Then client should be checked immediately and findings reported to the charge nurse and/or health care provider. A perforated peptic ulcer could cause nausea, vomiting  and abdominal distention, and may be a life threatening situation.

The nurse manager requests that the practical nurse (PN) staff form a task force to investigate and develop potential solutions to this problem:excessive documentation with resultant overtime.The PN staff are to present a report on solutions at the next staff meeting.The nurse manager's leadership

Participative

Participative style of management involves staff in decision-making processes. Staff/management interations are open and trusting. Mosting work efforts are conducted jointly with management and staff.

A client calls the evening health clinic to state "I know I have severely low sugar since the Lantus insulin I took three hours ago is now at its peak." What should a nurse's initial questions be to the client?

"What are you physically feeling at this moment?"

The correct response focuses ont he here and now which would be the priority. It is also the most patient centered that gathers assessment data about the clients. Two responeses are focused on an earlier time. These should be asked next. The other response drawa attention to the client's knowledge about the insulin and should be asked last.

An unlicensed assistive personel (UAP) who usually works is an assisted care agency on pediatrics is assigned to work on an adult medical-surgical unit. Which of these questions should the UAP be asked ny the charge PN nurse prior to making assignment decisions?

"Do you have your competency checklist for review?"

The UAP must be competent to accept the delegated task. The right task must be delegated to the UAP. Review of a standardized skills checklist is the most thorough and efficient manner to identify competencies of any staff member. In one option the focus on time in a role does not guarantee skills and knowledge. Another option is too general of a question. And the third option deals with feelings and not skill level of the UAP.

At which point should a nurse begin the planning for a client's discharge?

During the asmission process of the client to an acute health care agency

Thought about discharge concerns for the plan of care are incorporated  after the admission process is completed and during the initial discussion of the client's needs.

Which directions should a nurse use when directing an unlicensed assisstive personnel (UAP) to assist an older adult client diagnosed with a stroke to ambulate?

" Have the client lift and move the walker out at arms length then walk into the walker."

GIve clear information to the UAP abiout what is expected for client safety. The other statements are incorrect directions.

Upon completing a review of the admission documents, a nurese identifies that an 87 year-old client does not have an advance directive. Which action should the nurse take?

Give information about advance directives

Which task for an older adult client who has a diagnosis of hyperglycemia should the nurse assign to an unlicensed assistive personnel (UAP)?

Test blood sugar by peripheral stick every 2 hours

The UAP can do standard, unchanging procedures with predictable outcomes such as accuchecks, emptying of collection chambers, and checking vital signs.

A client diagnosed with head trauma is in a nonresponsive state. Vital signs are stable and breathing is regular and spontaneous. Which documentation accurately describes the client's condition?

Glasgrow Coma Scale 8, respirations regular

A client exhibiting confusion has been placed in extremity restraints by an order of the health care provider. Which care task for client should a nurse assign to an unlicensed assistive personnel (UAP)?

Assist with activites of daily living

The person to whom the activity is delegated must be capable of performing it. The UAP is capable of assisting clients with basic or routine needs and tasks with predictable outcomes. However, the UAP may not be capable of identifying comfort needs, especially those associated with pain management for a restrained client.

Which of these clients should a nurse assign to an unlicensed assistive personnel (UAP)?

A client diagnosed with peripheral vascular disease and an ulceration of the lower leg

This client is the most stable with no risk of instability as compared to the other clients. This client has a chronic condition and needs supportive care.

A manager makes makes all decisions and rarely asks for staff input. The best description of this nurse manager's leasdership style is

Autocratic or authoritarian

Autocratic leadership style is reflected in this situation. It is appropriate for groups with little edeucation and experience and who need strong direction, while participative or democratic style may be more successful on nursing units with higher educated groups.

Which would be an appropriate task to delegate to unlicensed assistive personnel UAP working on a medical surgical unit?

Which task is appropriate to assign to an unlicensed assistive personnel UAP?

What tasks Cannot be delegated to a UAP?

What tasks can a UAP perform?