The nurse wants to assign back rubs to unlicensed assistive ...

[mynx]

The nurse wants to assign back rubs to unlicensed assistive personnel. Before doing so, the nurse should first determine whether:
 
  1. Unlicensed assistive personnel know how to perform a back rub.
  2. There any clients who have intravenous fluids infusing.
  3. There any clients who should not have a back rub performed.
  4. There any clients who are prescribed to take nothing by mouth.
  5. There any clients who do not want a back rub done by unlicensed assistive personnel.

Question 2

The nurse has completed a back massage for a client. What should the nurse document about this procedure?
 
  1. Effectiveness of pain medication using a rating scale from 0 to 10.
  2. Position to perform the massage.
  3. Content of communication that occurred during the back massage.
  4. Amount of lotion used during the back massage.
  5. Client response.

[josephsuarez]

Answer to Question 1

Correct Answer: 1,3,5
Rationale 1: The nurse can delegate this skill to UAP; however, the nurse first should assess for UAP's comfort and ability.
Rationale 2: An intravenous infusion is not a contraindication for a back rub.
Rationale 3: The nurse can delegate this skill to UAP; however, the nurse first should assess for client contraindications.
Rationale 4: Being prescribed nothing by mouth is not a contraindication for a back rub.
Rationale 5: The nurse can delegate this skill to UAP; however, the nurse first should assess for client willingness to participate.

Answer to Question 2

Correct Answer: 2,5
Rationale 1: Effectiveness of pain medication is not a part of the documentation of a back massage.
Rationale 2: The nurse should document the position in which the massage was performed on the client.
Rationale 3: The content of communication that occurred during the back massage is not necessary to document.
Rationale 4: The amount of lotion used during the back massage is not necessary to document.
Rationale 5: The nurse should document the client's response to the massage.