Which client would require skilled nursing care rather than being assigned to UAP?

A client scheduled for a colonoscopy requires skilled nursing care due to the need for monitoring and assessment related to the procedure. This patient undergoes a medical intervention that can involve sedation, anesthesia, and potential complications. Skilled nursing staff are trained to manage these aspects, including pre-procedure assessments, IV placement, and post-procedure monitoring for vital signs and recovery from anesthesia.

In contrast, the other clients mentioned would not typically require the level of expertise that skilled nursing provides. For example, ambulation with a walker can be managed by unlicensed assistive personnel (UAP) who can ensure safety and assistance during mobility. Range-of-motion exercises can also be delegated to UAP, as these tasks do not necessitate nursing judgment or assessment. Similarly, monitoring incontinence and performing a bladder scan can often be safely performed by UAP under the guidance of a nurse, as long as critical assessments are being made by skilled personnel. Therefore, the complexity and potential risks associated with the procedure make the patient requiring colonoscopy the one that necessitates the skilled nursing care.