Final answer:
UAPs can be assigned to clients receiving continuous oxygen and those on isolation for MRSA, but not to more complex cases or those requiring close monitoring. Emergency transfusions typically use O negative blood as a universal donor. Agglutination in both wells during blood typing indicates an AB positive blood type.
Step-by-step explanation:
Safe Assignments for UAPs
When planning client assignments for the day, a nurse must carefully consider which tasks can be delegated to an Unlicensed Assistive Personnel (UAP). The clients that can be safely assigned to an UAP are:
Client receiving continuous oxygen at 2 L/min
Client on isolation for MRSA
Clients receiving complex treatments such as heparin infusions or blood transfusions, or those who require close monitoring like those recovering from Guillain-Barre syndrome or post-operative hip repair surgery, should be assigned to a licensed nurse.
Emergency Blood Transfusion
In a critical situation where a patient has severe bleeding following a motor vehicle accident and there is no time to determine blood type, O negative blood would be transfused. This is because O negative blood is considered the universal donor type and is less likely to cause an adverse reaction when the recipient's blood type is unknown.
Blood Type Determination
When a technician adds anti-A antibody to the first well and anti-B antibody to the second well, resulting in agglutination in both, this indicates that the patient has AB positive blood type. This is a normal response and does not suggest an error since AB positive blood contains both A and B antigens, causing agglutination when mixed with anti-A and anti-B antibodies.