A nurse is using a bladder scanner to measure the bladder volume of a patient who is experiencing frequent urination.
In what position should the nurse place the patient?

Choice A rationale:

Episodic urinary incompetence is not a recognized medical term. It's important to use accurate terminology in healthcare to ensure effective communication and understanding.
Choice B rationale:
Episodic normal micturition refers to occasional instances of normal urination. It does not describe the involuntary leakage of urine that occurs with sneezing.
Choice C rationale:
Episodic uncontrolled anuria refers to a temporary absence of urine production. This is a serious condition that requires immediate medical attention, as it can lead to kidney failure. It is not consistent with the client's report of involuntary urine leakage upon sneezing.
Choice D rationale:
Episodic urinary incontinence is the involuntary loss of urine that occurs at specific times or events, such as sneezing, coughing, laughing, or exercising. This is the most accurate description of the client's symptoms.
Key points about episodic urinary incontinence:
It is a common condition, affecting millions of people worldwide.
It can be caused by a variety of factors, including weakened pelvic floor muscles, overactive bladder, urinary tract infections, and neurological conditions.
It can have a significant impact on a person's quality of life, causing embarrassment, social isolation, and anxiety. There are a number of treatment options available, including behavioral therapies, medications, and surgery.

Choice A rationale:
While adequate supervision is essential for safe delegation, it's not the primary question the nurse should ask. The nurse must first determine if delegation is legally and organizationally permissible.
If the nurse practice act or facility policy prohibits delegation of medication administration to UAPs, no amount of supervision can override those regulations.
Ensuring compliance with legal and professional standards is paramount to protect patient safety and the nurse's license.
Choice B rationale:
The client's response and approval are important considerations, but they don't supersede legal and organizational guidelines. If delegation isn't permitted, the client's preferences cannot justify a violation of these standards. Obtaining client consent is a crucial aspect of ethical care, but it must align with established regulations.
Choice C rationale:
UAP training is crucial for safe delegation, but it's again not the primary question.
If delegation itself isn't allowed, the UAP's level of training becomes irrelevant.
It's essential to verify the UAP's competency only after confirming the legality and organizational acceptability of delegation.
Choice D rationale:
This is the primary question because it addresses the fundamental legality and appropriateness of delegation within the specific context of the nurse's practice and workplace.

Nurse practice acts outline the scope of nursing practice and define which tasks can be delegated to unlicensed personnel.
Healthcare facility policies further delineate delegation guidelines within the institution, ensuring consistency and adherence to best practices.
By consulting these regulations first, the nurse can make an informed decision that aligns with professional standards and protects patient safety.