Author Question: The nurse has assigned vital signs and a.m. care for several clients to the unlicensed assistive ... (Read 74 times)

jCorn1234 · **on:** Jul 22, 2018

The nurse has assigned vital signs and a.m. care for several clients to the unlicensed assistive personnel (UAP). The nurse plans to reassess each client throughout the shift because:

1. The nurse remains accountable for the client's care.
2. The UAP is not trustworthy.
3. A report to the next shift is necessary.
4. The nurse maintains the authority to care for the client's.

Question 2

A client tells the nurse that he does not want to develop the same heart problems that his parents experienced. Which of the following should the nurse instruct this client?

1. Avoid cigarette smoking
2. Limit fluid intake
3. Wear elastic hose
4. Limit exercise to 15 minutes a day

hramirez205 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1. The nurse remains accountable for the client's care.

Rationale:
The nurse remains accountable for the care of client's during delegation to the UAP. The UAP may be untrustworthy, but the reason the nurse checks on the client's is because the accountability belongs to the nurse. The nurse could take a report from the UAP and report that to the next shift. The nurse transfers the authority for the delegated care to the UAP.

Answer to Question 2

1. Avoid cigarette smoking

Rationale:
The one intervention that would help the client prevent the onset of cardiovascular disease would be to avoid cigarette smoking. Limiting fluids and wearing elastic hose are not known to prevent the onset of cardiovascular disease. Limiting exercise to 15 minutes a day may also not be enough exercise to prevent the onset of cardiovascular disease.