When planning care for a client with ulcerative colitis who is experiencing symptoms, which client care activities can the nurse appropriately delegate to an unlicensed assistant? Select all that apply.
A. Assessing the client’s bowel sounds.
B. Providing skincare following bowel movements.
C. Evaluating the client’s response to antidiarrheal medications.
D. Maintaining intake and output records.
E. Obtaining the client’s weight.
Correct Answer: B, D, and E.
The nurse can delegate the following basic care activities to the unlicensed assistant: providing skincare following bowel movements, maintaining intake and output records, and obtaining the client’s weight. Assessing the client’s bowel sounds and evaluating the client’s response to medication are registered nurse activities that cannot be delegated.
Option A: Assessing a patient’s abdomen can provide critical information about his internal organs. Always follow this sequence: inspection, auscultation, percussion, and palpation. Changing the order of these assessment techniques could alter the frequency of bowel sounds and make your findings less accurate.
Option C: The evaluation of the effectiveness of pharmacotherapy includes measurable improvement in clinical signs and symptoms and/or laboratory values. The evaluation of the safety of pharmacotherapy includes evidence of adverse drug reactions and/or toxicity.
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