what observations by the nurse indicates the need for further teaching to unlicensed assistive personnel uap on assisting with ambulation
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Nursing Elites

ATI RN

Multi Dimensional Care | Final Exam

1. What observation by the nurse indicates the need for further teaching to unlicensed assistive personnel (UAP) on assisting with ambulation?

Correct answer: C

Rationale: Choice C is the correct answer because the UAP should walk slightly behind or to the side of the client, not in front, to provide proper support during ambulation. Choices A, B, and D are not indicative of incorrect technique or the need for further teaching. Putting shoes on the client, removing floor rugs and loose objects, and using a transfer (gait) belt are all appropriate actions when assisting with ambulation.

2. A client with systemic sclerosis has been in bed for 2 weeks due to fatigue and abdominal pain. Today, the client came into the clinic complaining of her leg being hot, red and painful. What does the nurse suspect?

Correct answer: B

Rationale:

3. What client is a susceptible host most at risk for infection?

Correct answer: A

Rationale:

4. The nurse notices a new area of skin breakdown near the site of a dressing. This would be an example of which phase of the nursing process?

Correct answer: B

Rationale:

5. What phase of wound healing occurs at the time of injury and lasts about 3-5 days?

Correct answer: C

Rationale:

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