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Difficulty: EasyAssignment, Delegation and Supervision

A client who underwent a right knee arthroplasty 2 days ago is preparing to participate in a physical therapy session. The client is hemodynamically stable and alert. Which task should the registered nurse (RN) delegate to the unlicensed assistive personnel (UAP)?

  1. Assisting the client with putting on non-slip footwearAnswer
  2. B
    Evaluating the client's pain level prior to the session
  3. C
    Teaching the client about the importance of joint mobility
  4. D
    Assessing the surgical incision site for signs of redness

Answer

Assisting the client with putting on non-slip footwear
The correct answer involves assisting the client with non-slip footwear because this is a standard, unchanging routine activity that promotes basic safety. It does not require nursing judgment, assessment, or teaching.

Step-by-Step Solution

1
Identify the scope of practice for unlicensed assistive personnel (UAP).
UAPs are permitted to perform standard, routine tasks on stable clients, such as assisting with activities of daily living (ADLs) and basic safety measures.
Delegation must strictly adhere to legal and facility guidelines to ensure client safety.
2
Analyze the options using the 'EAT' (Evaluate, Assess, Teach) mnemonic.
Three of the options involve evaluating pain, teaching about mobility, and assessing the incision.
The RN cannot legally delegate evaluation, assessment, or teaching to unlicensed personnel.
3
Select the option that represents a permissible UAP task.
Putting on non-slip footwear is selected.
It is a standard safety intervention requiring no clinical judgment or advanced knowledge.

Key Concept

Delegation of routine, non-clinical tasks to UAP
Estimated Time:45s
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Topics

Assignment, Delegation and Supervision

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