A patient is admitted to the hospital with a diagnosis of alcoholism. The nurse should expect an order for

Choice A reason: A 7 am diuretic dose increases urination earlier, not at night, unlike a 7 pm dose, which causes nocturia. Assuming morning dosing is riskiest risks missing nighttime impact, potentially neglecting sleep disruption, critical to avoid in assessing nocturia risk in clients on diuretics.

Choice B reason: Daytime naps may affect sleep but don’t directly cause nocturia, unlike a 7 pm diuretic, which increases nighttime urination. Assuming naps are the primary risk risks overlooking urinary patterns, critical to prevent in accurately identifying nocturia causes in clients with sleep issues.

Choice C reason: Sleeping pills promote sleep but don’t cause nocturia, unlike a 7 pm diuretic, which increases nighttime urine output. Assuming pills are the highest risk risks missing diuretic effects, potentially neglecting urinary causes, critical to avoid in assessing nocturia in clients on medications.

Choice D reason: A diuretic at 7 pm increases urine production at night, causing nocturia, disrupting sleep, and posing the highest risk among options. This is critical for adjusting medication timing, ensuring rest, and preventing sleep disturbances, essential in managing clients with diuretic therapy and nocturia risk.

Choice A reason: Emptying a Foley catheter bag and reporting volume is within an unlicensed care provider’s scope, involving technical tasks without assessment, ensuring efficient workload management. This is critical for timely monitoring, supporting RN oversight, and maintaining client care standards in busy obstetrical units, adhering to safe delegation principles.

Choice B reason: Assessing clots requires clinical judgment, outside unlicensed providers’ scope; RNs must perform this. Assuming delegation is justified risks inaccurate assessment, potentially missing postpartum hemorrhage, critical to avoid in ensuring safe maternal care and proper delegation in obstetrical nursing practice during busy shifts.

Choice C reason: Administering medications, even anti-inflammatories, is restricted to licensed nurses, not unlicensed providers, due to safety risks. Assuming delegation is safe risks medication errors, potentially harming the client, critical to prevent in ensuring proper pharmacological management and adherence to nursing scope in obstetrical care.

Choice D reason: Helping with breastfeeding latch requires clinical teaching, outside unlicensed providers’ scope; RNs are trained for this. Assuming delegation is appropriate risks ineffective latch, potentially affecting infant nutrition, critical to avoid in ensuring maternal-infant bonding and successful breastfeeding in obstetrical care settings.