The practical nurse (PN) is assigning care for a group of clients on the urology medical unit.

Which client care interventions should the PN assign to the unlicensed assistive personnel

(UAP)? (Select all that apply.)

A Irrigate an indwelling urinary catheter for a client with bladder suspension.

Empty bedside drainage unit for a client with indwelling urinary catheter.

Transport a urine culture sample to the laboratory.

Obtain a post-voided residual (PVR) volume.

Answer and Explanation

Correct Answer : B,C,D

A.   Irrigate an indwelling urinary catheter for a client with bladder suspension. - This procedure requires specialized skills and should be performed by a licensed nurse.
B.   Empty bedside drainage unit for a client with an indwelling urinary catheter. - UAP can safely perform this task by following established protocols to maintain catheter hygiene.
C.   Transport a urine culture sample to the laboratory. - This task involves safely transporting a specimen and does not require specialized medical knowledge.
D.   Obtain a post-voided residual (PVR) volume. - This task can be performed by UAP under supervision or with appropriate training, using a bladder scanner or assisting the client to measure remaining urine.
E.   Teach the client with fluid restrictions how to measure urine output. - Teaching tasks generally fall under the responsibility of licensed nursing staff and may require specific medical knowledge.

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Correct Answer is D

Explanation

A. Checking the perineum for changes in "show" or discharge is important for monitoring labor progress, but it does not directly address the client's immediate need to empty her bladder. This action would be more relevant if there were signs of labor progression or complications.

B. Reviewing the fetal heart rate pattern is crucial for assessing fetal well-being, but it does not resolve the client's discomfort from a full bladder. While important, it does not address the specific request made by the client.

C. Obtain a straight catheter kit to empty her bladder is unnecessary since the client can ambulate and has expressed the desire to void. Catheterization is typically reserved for clients unable to void independently or when the bladder is distended and interfering with labor progression.

D. Assist the client up to the bathroom is the correct action. Allowing the client to empty her bladder helps facilitate labor progression, as a full bladder can impede fetal descent. Since the vaginal exam is unchanged and the client is stable, ambulation to the bathroom is safe and appropriate. Additionally, this action supports the client’s autonomy and comfort during labor.

A. Mood alterations. B. Hearing loss. C. Impaired cognition. D. Memory loss.

Correct Answer is ["A"]

Explanation

A. Mood alterations, including irritability and emotional lability, are common in individuals with Cushing's syndrome due to hormonal imbalances.
B. Hearing loss is not a known symptom or manifestation of Cushing's syndrome.

C. Impaired cognition might occur but isn't typically associated with overt anger or mood swings.
D. Memory loss isn't a primary symptom of Cushing's syndrome.

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The practical nurse (PN) is assigning care for a group of clients on the urology medical unit. Which client care interventions should the PN assign to the unlicensed assistive personnel (UAP)? (Select all that apply.)

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Correct Answer is D

Explanation

The practical nurse (PN) overhears a female client with Cushing's syndrome telling her family in a very loud and angry voice to leave her room and not to come back. The response by the PN is based on recognizing which common manifestation of the syndrome.

Correct Answer is ["A"]

Explanation

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The practical nurse (PN) is assigning care for a group of clients on the urology medical unit.

Which client care interventions should the PN assign to the unlicensed assistive personnel

(UAP)? (Select all that apply.)