While caring for a client in skeletal traction, which tasks can the registered nurse (RN) delegate to experienced unlicensed assistive personnel (UAP) to help prevent immobility hazards? Select all that apply.

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Quizplus · Accepted Answer

The UAP has the skills and knowledge to perform standard procedures to prevent immobility hazards for a client in traction (eg, pneumonia, pressure ulcers, foot drop, thromboembolism). When providing care for a stable client, the RN can safely delegate these tasks to the UAP: Assist with active and passive ROM exercises after the client has been taught how to perform them by the RN or physical therapist (Option A) Notify the RN of client reports of pain, tingling, or decreased sensation in the affected extremity Remind the client to use the incentive spirometer after the client has been taught proper use by the RN or respiratory therapist (Option D) Maintain proper use of pneumatic compression devices (Option E) Remind the client to move frequently using the overhead trapeze (Option B) The UAP changes the linens from the top to the bottom of the bed with assistance; clients are instructed to lift themselves using the overhead trapeze. This approach maintains immobilization of the injured extremity. Logrolling the client will require multiple staff members, including one person to stabilize weights. (Option C) The RN is responsible for peripheral circulation, neurovascular, and skin assessments. Educational objective: To prevent immobility hazards for a client in skeletal traction, the RN can delegate the following tasks to the UAP: Assist with active and passive ROM exercises Notify the RN of client reports of pain, tingling, or decreased sensation in the affected extremity Remind the client to use the incentive spirometer Maintain proper use of pneumatic compression devices

While Caring for a Client in Skeletal Traction, Which Tasks