A client with hypertension complains of a persistent dry cough. The practical nurse (PN) should tell the client that this is a common side effect of which daily medication?

A. Encourage the client to be calm and relax for a little while: Simply encouraging relaxation does not address the underlying anxiety driving the compulsive behavior. Clients with OCD require structured support that allows gradual redirection rather than just verbal reassurance

B. Assist the client to identify stimuli that precipitates the activity: Identifying triggers is an important part of long-term therapy but is not appropriate during an active compulsive episode. The client’s anxiety level is usually too high to engage in self-reflection/ discussion.

C. Provide time for the behavior then guide the client to other activities: Allowing the client limited time to complete the ritual helps reduce immediate anxiety while maintaining trust and rapport. Afterward, the nurse can gently redirect the client to other activities, promoting gradual control over compulsions without escalating distress.

D. Assist the client to a chair after taking away the cleaning materials: Removing the cleaning materials abruptly can heighten anxiety and cause agitation. For clients with OCD, a sudden interruption of ritualistic behavior may lead to emotional distress or resistance to further care

A. Transport a urine culture sample to the laboratory: Transporting specimens is within the UAP’s scope of practice. It involves safe handling and timely delivery but does not require clinical judgment or assessment skills, making it appropriate to delegate.

B. Empty bedside drainage unit for a client with indwelling urinary catheter: UAPs are trained to empty catheter drainage bags and record output. This task is routine, does not involve sterile technique beyond standard precautions, and falls within their competency.

C. Teach the client with fluid restrictions how to measure urine output: Teaching requires assessment, explanation, and evaluation of client understanding, which are nursing responsibilities. The UAP cannot independently provide education or evaluate comprehension.

D. Irrigate an indwelling urinary catheter for a client with bladder suspension: Catheter irrigation is a sterile, invasive procedure requiring clinical judgment and monitoring for complications. This task must be performed by licensed nursing personnel, not a UAP.

E. Obtain a post-voided residual (PVR) volume: Measuring PVR often involves using a bladder scanner and interpreting results, requiring assessment skills and clinical decision-making. This is outside the UAP’s scope and must be performed by a licensed nurse.