The nurse plans care for a client with a vancomycin-resistant enterococcus (VRE) infection. Which action should the nurse delegate to the unlicensed assistive personnel (UAP)?
The nurse plans care for a client with a vancomycin-resistant enterococcus (VRE) infection. Which action should the nurse delegate to the unlicensed assistive personnel (UAP)?
A. Place gowns and gloves outside of the client's room
[82%]
B. Educate the client and family members on ways to prevent transmission of VRE
[1%]
C. Affix a droplet precautions sign on the client's door
[10%]
D. Validate the client's understanding on hand hygiene
[7%]
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
Application
Explanation
Choice A is correct. VRE requires a client to be placed on contact precautions. A UAP may assist the nurse in implementing transmission-based precautions, such as placing gowns and gloves outside the client's room. Gown and gloves are required for contact precautions.
Choices B, C, and D are incorrect. The UAP should not place a droplet precautions sign outside the client's room. While a UAP may assist with implementing transmission-based precautions (gathering supplies and putting a sign on the client's door), the UAP must be instructed to place the appropriate sign on the door as VRE requires contact precautions, not droplet precautions. Education and validation understanding are tasks for a nurse. This should not be delegated to a UAP.
Related Videos
2 Key Topics

UAP Delegation
15.7 Delegation
Additional Info
✓ Healthcare personnel caring for clients on contact precautions are required to wear a gown and gloves for all interactions that may involve contact with the client or potentially contaminated areas in the client's environment
✓ Donning PPE upon room entry and discarding it before exiting the patient room is done to contain pathogens