Author Question: A client waiting for surgery is very anxious. What intervention can the nurse delegate to the ... (Read 64 times)

luvbio · **on:** Jun 25, 2018

A client waiting for surgery is very anxious. What intervention can the nurse delegate to the unlicensed assistive personnel (UAP)?

a. Assess the client's anxiety.
b. Give the client a back rub.
c. Remind the client to turn.
d. Teach about postoperative care.

Question 2

A postoperative client has an abdominal drain. What assessment by the nurse indicates that goals for the priority client problems related to the drain are being met?

a. Drainage from the surgical site is 30 mL less than yesterday.
b. There is no redness, warmth, or drainage at the insertion site.
c. The client reports adequate pain control with medications.
d. Urine is clear yellow and urine output is greater than 40 mL/hr.

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

Answer to Question 1

ANS: B
A back rub reduces anxiety and can be delegated to the UAP. Once teaching has been done, the UAP can remind the client to turn, but this is not related to relieving anxiety. Assessing anxiety and teaching are not within the scope of practice for the UAP.

Answer to Question 2

ANS: B
The priority client problem related to a surgical drain is the potential for infection. An insertion site that is free of redness, warmth, and drainage indicates that goals for this client problem are being met. The other assessments are normal, but not related to the drain.