Author Question: The nurse has delegated skin care of a client with uremia to new unlicensed assistive personnel ... (Read 48 times)

jrubin · **on:** Jul 22, 2018

The nurse has delegated skin care of a client with uremia to new unlicensed assistive personnel (UAP) on the unit. In order to improve effectiveness of the care given, the nurse plans to:

1. Ask the UAP if the care was given.
2. Ask the client if the care was appropriate.
3. Accompany the UAP the first time and demonstrate care needed.
4. Closely observe the UAP each time the care is given.

Question 2

A nurse is planning preoperative teaching for a child scheduled to have a tonsillectomy. The child has a history of attention deficit hyperactivity disorder (ADHD). The nurse uses which of the following teaching techniques with this child?

1. Give instructions verbally and use a picture pamphlet, repeating points more than once
2. Ask other children who have had this procedure to talk to the child
3. Allow the child to lead the session to gain a sense of control
4. Play a television show in the background

Dominic · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3. Accompany the UAP and demonstrate care needed.

Rationale:
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

1. Give instructions verbally and use a picture pamphlet, repeating points more than once

Rationale:
A teaching session for a child with ADHD should foster attention. Giving instructions verbally and in written form, repeating the main points, will improve learning for a child with ADHD. Talking to other children who have had this procedure may not foster understanding, because this child has ADHD. A child who has difficulty concentrating should not lead the session even though the child needs to feel in control. The environment should be quiet, with minimal distractions. Distractions such as noise from a television should be minimized.