The nursing student, while employed as an unlicensed assistive ...

[bobbie]

The nursing student, while employed as an unlicensed assistive personnel (UAP) on weekends, is asked to change a sterile dressing for a postoperative client.
 
  The student has demonstrated competence in dressing changes, and has been signed off on the skill while attending school. Which of the following actions should the UAP take? 1. Change the dressing but ask the nurse to supervise.
  2. Call the instructor to ask advice on the matter.
  3. Tell the staff nurse that changing a sterile dressing is outside the scope of practice for a UAP.
  4. Notify the nursing supervisor of the nurse's request and complete an incident report.

Question 2

Enhancing the quality of life is an example of which aspect of LPN/LVN practice?
 
  1. Caring for the dying
  2. Providing immunizations
  3. Completing lab draws
  4. Promoting health and wellness

[bob]

Answer to Question 1

3
Rationale 1: Answer option 3 is correct because the student is currently working as a UAP, not a nursing student, so changing a sterile dressing would be outside the student's scope of practice. Option 1 is incorrect because the student is not functioning as a nursing student, so both the UAP and nurse could be liable for allowing the dressing change to be performed by an unlicensed person. Option 2 and 4 are unnecessary because the UAP should understand the rules and scope of practice.

Answer to Question 2

4
Rationale 1: Enhancing the quality of life is an example of promoting health and wellness, and is within the scope of LPN/LVN practice. Answer options 2 and 3 are tasks that are within the scope of the LPN/LVN but do not necessarily enhance the life of clients. Option 1 includes helping clients to live as comfortably as possible until death.

[bobbie]

Thanks for the timely response, appreciate it

[tkempin]

Excellent