When assigning a UAP to apply sequential compression devices, what instruction should the nurse include?

Instructing the unlicensed assistive personnel (UAP) to report changes in color in the client's feet or legs is crucial when assigning the task of applying sequential compression devices. This is because monitoring the patient's extremities for any changes in color can be an early indication of potential complications, such as impaired circulation or an adverse reaction to the device.

Sequential compression devices are used to improve venous blood flow in patients, particularly to prevent deep vein thrombosis (DVT) in those at risk. If the devices are not fitting properly or if there is an underlying circulation issue, the client may develop discoloration, which could signal a need for immediate intervention. By emphasizing the importance of color changes, the nurse ensures that the UAP is vigilant in monitoring for signs of complications, thereby ensuring patient safety.

In contrast, setting the devices to high pressure is not appropriate, as optimal pressure settings should be determined according to protocols established by the healthcare facility or manufacturer recommendations. Regular checks for malfunctioning devices every hour might be excessive and could distract the UAP from their other important duties. Applying the devices only during the night does not align with typical usage protocols, since they are frequently intended to be used throughout the day to maintain consistent venous flow.