Which task could be safely delegated by the nurse to the ...

[tnt_battle]

Which task could be safely delegated by the nurse to the unlicensed assistive personnel (UAP)?
 
  1. Caring of the client with the newly placed cast
  2. Explaining to the client how to respond to itching under the cast
  3. Caring of the insertion site for Crutchfield tongs
  4. Caring of the client with a stable cast

Question 2

The adolescent client newly placed in traction says, Laying in this bed all the time is going to turn my body into mush. Is there any way I could exercise while I'm in traction? Which response by the nurse is the most appropriate?
 
  1. Many people worry about muscle weakness when they are confined to bed. You could perform range of motion, isometric, and specific exercises.
  2. Don't worry about your muscles, because you can get them back after you get out of traction.
  3. You're young and in great shape. Your muscles won't weaken with a few weeks in bed.
  4. I'll put a referral in for physical therapy to come and work with you.

[GCabra]

Answer to Question 1

Correct Answer: 4

The UAP could safely provide routine care for the client with a stable cast. The newly casted client requires frequent neurovascular assessments, which can be performed only by the nurse. Teaching and sterile wound care are also the responsibility of the nurse.

Answer to Question 2

Correct Answer: 1

The nurse should first recognize the client's feelings and then make recommendations for how the client could exercise to maintain muscle integrity. Reassuring the client his muscles will improve later or telling him not to worry minimizes the client's concern and negatively impacts the nurse-client relationship. Physical therapy referrals are not required or indicated at this time.