UAP task appropriateness

  • NCLEX-RN
  • Management of Care
  • Matrix
  • Difficulty 3 of 5

Question

An RN on an adult orthopedic unit is planning work for unlicensed assistive personnel (UAP). For each task, indicate whether it is appropriate or not appropriate to assign to UAP.

RowAppropriate for UAPNot appropriate for UAP
Collect routine vital signs for a client whose condition is stable after elective joint replacement✓ CorrectNot correct
Perform a licensed nursing assessment of the surgical incision to stage tissue injuryNot correct✓ Correct
Assist a stable client with bathing and toileting after morning physical therapy✓ CorrectNot correct
Independently teach a new opioid weaning plan before dischargeNot correct✓ Correct

Answer

Collect routine vital signs for a client whose condition is stable after elective joint replacement: Appropriate for UAP · Perform a licensed nursing assessment of the surgical incision to stage tissue injury: Not appropriate for UAP · Assist a stable client with bathing and toileting after morning physical therapy: Appropriate for UAP · Independently teach a new opioid weaning plan before discharge: Not appropriate for UAP

Rationale

UAP may gather routine vitals and help with hygiene for stable clients. Staging tissue injury and delivering original client teaching require licensed clinical judgment and stay with the nurse.

RememberUAP: stable vitals and ADLs; not wound staging or new teaching.

Sources

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