Author Question: During morning care, a UAP notes that thick green drainage is seeping around the appliance of a ... (Read 29 times)

FButt · **on:** Jul 23, 2018

During morning care, a UAP notes that thick green drainage is seeping around the appliance of a client's new ostomy. What should the UAP have been instructed to do?

1. Clean around the drainage.
2. Remove the ostomy appliance and cover the stoma with toilet tissue.
3. Perform complete ostomy care.
4. Report the drainage to the nurse.

Question 2

The nurse is delegating activities regarding fecal elimination to a UAP. Which activity can UAP safely perform to meet a client's fecal elimination needs?

1. Provide a fracture pan to a client on bedrest.
2. Provide a client who has a fecal impaction and prolapsed rectum with a cleansing enema.
3. Change a client's ostomy device.
4. Irrigate a client's ostomy.

moormoney · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: UAP should have been instructed to clean drainage off of the skin.
Rationale 2: UAP should not be instructed to remove the appliance and cover the stoma with toilet tissue.
Rationale 3: UAP should not be instructed to perform care to a new ostomy.
Rationale 4: Care of a new ostomy is not delegated to UAP. However, aspects of ostomy function are observed during usual care, and may be recorded by persons other than the nurse. Abnormal findings must be validated and interpreted by the nurse.

Answer to Question 2

Correct Answer: 1
Rationale 1: Providing a client who is on bedrest with a fracture pan is within the skill level of UAP.
Rationale 2: The client has a prolapsed rectum. The nurse should be providing the enema.
Rationale 3: The client has an ostomy. The nurse should be providing ostomy care.
Rationale 4: Irrigation of an ostomy should be done by the nurse.