The nurse and unlicensed assistive personnel (UAP) are caring for assigned clients.
Which of the following tasks should the nurse assign to the UAP?
The nurse and unlicensed assistive personnel (UAP) are caring for assigned clients.
Which of the following tasks should the nurse assign to the UAP?
A. Obtain a tympanic temperature for a client who received naproxen one hour ago
[61%]
B. Record and empty a closed suction drain for a client recovering from a mastectomy
[16%]
C. Assist a client in picking out low-sodium foods on their lunch menu
[15%]
D. Transport a client receiving an infusion of dopamine to the intensive care unit
[8%]
Statistics
Subject/Lesson
Subject
Leadership & Management
Lesson
Assignment/Delegation
Client Need
Test Plan
Management of Care
Related Topic
Assignment, Delegation and Supervision
Item Type
Item Type
Analysis
Explanation
Choice A is correct. Obtaining vital signs, including tympanic temperatures, is a routine, non-invasive task that falls within the scope of a UAP’s responsibilities. Naproxen is a non-steroidal anti-inflammatory drug (NSAID), and receiving it does not alter the appropriateness of delegating temperature measurement. The nurse will interpret the results, but the UAP can perform the measurement.
Choice B is incorrect. Closed suction drains (e.g., Jackson-Pratt) require assessment of drainage type, amount, and possible signs of complications such as infection or bleeding. These tasks involve clinical judgment and must be performed by a licensed nurse. UAPs should not handle surgical drains.
Choice C is incorrect. A nurse or dietitian should assist the individual in selecting appropriate foods, especially if they are on a therapeutic diet.
Choice D is incorrect. Dopamine is a high-alert medication administered intravenously and requires continuous monitoring of vital signs and perfusion status. Only a licensed nurse with appropriate training should transport individuals receiving vasoactive infusions due to the potential for rapid hemodynamic changes.
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2 Key Topics
UAP Delegation
