Author Question: Which activity could the nurse safely delegate to the unlicensed assistive personnel (UAP)? 1. ... (Read 121 times)

bobbysung · **on:** Jun 25, 2018

Which activity could the nurse safely delegate to the unlicensed assistive personnel (UAP)?

1. Answering the client's questions about proper procedure when performing breathing exercises
2. Assisting the client to sit upright in order to perform breathing exercises
3. Evaluating the effectiveness of breathing exercises
4. Evaluating the client's technique when using an incentive spirometer

Question 2

The nurse is caring for a client who had major abdominal surgery yesterday. Which assessment finding would indicate inadequate airway clearance that might be cleared with coughing and deep breathing?

1. Tachypnea with rales heard in the upper lobes and over the trachea
2. Bradypnea with wheezing heard throughout all lung fields
3. Tachypnea with wheezing heard throughout all lung fields
4. Tachypnea with rhonchi heard in the lower lobes

reelove4eva · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2

Only the nurse should evaluate or teach the client, but the UAP can assist the client to sit upright in order to perform breathing exercises.

Answer to Question 2

Correct Answer: 1

The client with inadequate airway clearance would most likely be found tachypneic, with rales in the upper lobes and over the trachea indicating secretions are high enough in the airway to clear with coughing. Wheezing is heard with airway narrowing, whereas rhonchi would be heard if the airway was narrowed from secretion collection in the smaller airways.