Answer to Question 1
Correct Answer: 3
Rationale 1: Providing oral fluid to a newly extubated client should be done first by the nurse, so the client can be assessed for ability to safely swallow.
Rationale 2: Irrigating an indwelling urinary catheter is beyond the scope for UAP.
Rationale 3: Application of ordered restraints and their temporary removal for skin monitoring and care may be delegated to UAP who have been trained in their use.
Rationale 4: Administering medication is beyond the scope for UAP.
Answer to Question 2
Correct Answer: 1
Rationale 1: After testing the device and alarm sound, the nurse should place the leg band on the client with the leg in a straight horizontal position.
Rationale 2: The sensor should be placed under the mattress at the buttocks area, not the shoulder area.
Rationale 3: Time delays should be between 1 and 12 seconds.
Rationale 4: Connecting the sensor pad to the control unit is the last step when installing the bed safety-monitoring device.