Author Question: The nurse is caring for several medical-surgical clients. The nurse has delegated skin care of an ... (Read 105 times)

drink · **on:** Jun 25, 2018

The nurse is caring for several medical-surgical clients. The nurse has delegated skin care of an incontinent client to new unlicensed assistive personnel (UAP) on the unit. Which action by the nurse will improve effectiveness of the client care provided?

A) Ask the client if the care was appropriate.
B) Ask the UAP if the care was given.
C) Demonstrate the appropriate care needed, then delegate the task for the remainder of the shift.
D) Closely observe the UAP each time the care is given.

Question 2

The nurse is preparing to provide care for a client who is newly admitted to the unit. Prior to assessing the client, which should the nurse review to determine care that may be needed?

A) The written care plan
B) The client's medical record
C) The Kardex
D) The medication administration record (MAR)

ApricotDream · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: C

The nurse would show the UAP the exact procedure the first time to avoid any confusion. The nurse would reassess the client's skin later rather than asking the UAP if the task was done. The nurse could possibly alarm the client by asking the client if care was appropriate. Closely observing the UAP defeats the purpose of delegation.

Answer to Question 2

Answer: C

The Kardex is a concise method of organizing and recording data about a client, making information quickly accessible to all health professionals. The medical record contains the same information as the Kardex, but the complete medical record is lengthy and would take the student more time to review. The MAR includes only those medications that are prescribed or scheduled to be administered during the client's stay and does not include other information like diagnostic tests, daily care, and so on. The written care plan may be included in the Kardex, or at least a portion of the care plan, but it would not be as inclusive as the Kardex.