Question

The nurse realizes that the nursing assistant needs further teaching if she observes the nursing assistant: A. Walking the postoperative client with leg pain B. Bathing the client using soap and water C. Changing the bed of the client in traction from top to bottom D. Feeding the client using a disposable spoon and fork

Short answer

Answer: Changing the bed of the client in traction from top to bottom.

Step-by-step solution

Analyze Option A

Walking the postoperative client with leg pain: This action is usually encouraged, as movement can help with circulation and prevent blood clot formation. It also aids in the recovery process in general. However, if the client's leg pain is extreme, it may be necessary to first assess the cause and severity before allowing the client to walk.

Analyze Option B

Bathing the client using soap and water: This is a standard care procedure that helps maintain hygiene and cleanliness for the client. No further teaching appears to be required for this action.

Analyze Option C

Changing the bed of the client in traction from top to bottom: Traction is used to maintain alignment of bones and gradually correct deformities. Changing the bed linen of a client in traction requires a different technique; it should be changed from side to side rather than top to bottom to avoid disturbing the traction setup. This action indicates that the nursing assistant might need further teaching.

Analyze Option D

Feeding the client using a disposable spoon and fork: Using disposable utensils when feeding clients is a standard infection control protocol. This action is appropriate and requires no further instruction.

Determine the answer

Based on the analysis, the answer is option C. Changing the bed of the client in traction from top to bottom is the action which shows that the nursing assistant needs further teaching.