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Difficulty: MediumAssignment, Delegation and Supervision

After receiving the shift report on an orthopedic step-down unit, the nurse evaluates the needs of several clients. Which intervention is safely within the scope of practice to assign to the unlicensed assistive personnel (UAP)?

  1. A
    Demonstrating the correct technique for using a walker to a client preparing for home discharge.
  2. B
    Obtaining vital signs for a client who suddenly reports sharp, crushing chest pain.
  3. Applying anti-embolism stockings to a client who is two days postoperative following a total knee arthroplasty.Answer
  4. D
    Evaluating a client's sacrum and heels for early signs of skin breakdown.

Answer

Applying anti-embolism stockings to a client who is two days postoperative following a total knee arthroplasty.
Applying anti-embolism stockings is a standard, routine procedure that has a predictable outcome. Because the client is two days postoperative and their condition is stable, this task safely falls within the UAP's scope of practice without requiring independent nursing judgment.

Step-by-Step Solution

1
Analyze the task requirements for applying anti-embolism stockings.
It is determined to be a standard, routine, non-invasive procedure with predictable outcomes.
To verify if the intervention structurally fits within the UAP's basic training and scope of practice.
2
Evaluate the clinical stability of the client.
The client is two days postoperative, indicating a stable, predictable condition.
UAPs can safely perform standard tasks only for stable clients whose conditions are not rapidly changing.
3
Apply the core principles of nursing delegation (EAT).
The task does not involve Evaluation, Assessment, or Teaching.
To ensure the decision strictly aligns with the National Council of State Boards of Nursing (NCSBN) delegation guidelines.

Key Concept

Delegation to Unlicensed Assistive Personnel (UAP)
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Topics

Assignment, Delegation and Supervision

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