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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D"]
Explanation
A. A slightly raised rash with ragged edges might indicate a mild skin condition but isn't typically an immediate concern for intervention in this scenario.
B. Red, hot, and swollen joints could indicate a serious condition like septic arthritis and would require immediate attention.
C. While an elevated heart rate can be a concern, it might be expected in a distressed child and might not be as urgent as other symptoms in this case.
D. A pulse oximetry reading of 88% O2 saturation indicates a significant decrease in oxygen levels and requires immediate intervention to ensure adequate oxygenation.
Correct Answer is C
Explanation
A. Assess her feelings about therapeutic abortions in the event the infant has been affected. - While important to address concerns, the immediate priority is to manage the current outbreak and prevent transmission.
B. Identify current sexual partners so that they can be evaluated and treated for genital herpes if necessary. - Contact tracing is important but not the highest priority in managing the current outbreak.
C. Instruct her to avoid sexual intercourse while active, visible lesions are present. - This is crucial to prevent transmission of the herpes virus to the sexual partner and to reduce the risk of complications for the pregnancy.
D. Determine if the client has taken acyclovir for this outbreak of genital herpes. - While important for understanding the treatment history, instructing the client on preventive measures has a higher priority.
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