Question

While the PN and UAP are turning a client with an abdominal incision, the clients incision eviscerate. Which task is best for the PN to assign to the UAP?

Answer 1

The PN should have the UAP help in a supportive role such as securing help or gathering supplies while the PN deals directly with the medical emergency of an eviscerated abdominal incision.

Step-by-step explanation:

When a client's abdominal incision eviscerates, this is considered a medical emergency that requires immediate action. The PN (Practical Nurse) should not assign any tasks related to the actual evisceration to the UAP (Unlicensed Assistive Personnel) since this requires nursing or medical expertise. However, the PN can assign the UAP to help in a supportive role. For instance, the UAP could be assigned tasks such as securing help, gathering supplies like sterile gauze and saline, and ensuring that the privacy and comfort of the client are maintained.

The PN should cover the eviscerated tissues with sterile gauze moistened with saline, monitor the client's vital signs, and alert the surgical team or physician immediately. Meanwhile, the client should be kept calm and instructed not to cough or move abruptly, as this could exacerbate the situation. It is critical for both the PN and the UAP to work together efficiently in this type of emergency.