A nurse delegates the ambulation of an older adult client to an ...

[stevenposner]

A nurse delegates the ambulation of an older adult client to an unlicensed nursing assistant (UAP). Which statement should the nurse include when delegating this task?
 
  a. The client has skid-proof socks, so there is no need to use your gait belt.
  b. Teach the client how to use the walker while you are ambulating up the hall.
  c. Sit the client on the edge of the bed with legs dangling before ambulating.
  d. Ask the client if pain medication is needed before you walk the client in the hall.

Question 2

A nurse teaches a client about performing intermittent self-catheterization. The client states, I am not sure if I will be able to afford these catheters. How should the nurse respond?
 
  a. I will try to find out whether you qualify for money to purchase these necessary supplies.
  b. Even though it is expensive, the cost of taking care of urinary tract infections would be even higher.
  c. Instead of purchasing new catheters, you can boil the catheters and reuse them up to 10 times each.
  d. You can reuse the catheters at home. Clean technique, rather than sterile technique, is acceptable.

[aham8f]

Answer to Question 1

ANS: C
Before the client gets out of bed, have the client sit on the bed with legs dangling on the side. This will enhance safety for the client. A gait belt should be used for all clients. The UAP cannot teach the client to use a walker or assess the client's pain.

Answer to Question 2

ANS: D
At home, clean technique for intermittent self-catheterization is sufficient to prevent cystitis and other urinary tract infections. The nurse would refer the client to the social worker to explore financial concerns. The nurse should not threaten the client, nor should the client be instructed to boil the catheters.