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 C

Explanation

A. Checking for kinks in the drainage tubing might be a part of troubleshooting, but the observed clots and thick red fluid require immediate attention, so informing the charge nurse is the priority.
B. Delaying assessment for another hour could potentially exacerbate the issue if there's a problem with the irrigation or if the client's condition worsens.
C. Reporting the finding to the charge nurse is crucial as it indicates potential complications such as bleeding or clot formation that need immediate intervention.
D. Immediately stopping the irrigation solution without proper assessment and guidance could lead to complications and isn't the initial action warranted in this situation.

A. Check for kinks in the drainage tubing. B. Observe the drainage again in one hour. C. Report the finding to the charge nurse. D. Stop the irrigation solution immediately.

Correct Answer is C

Explanation

A. Checking for kinks in the drainage tubing is important, but the observed clots and thick red fluid suggest potential complications that require immediate attention and should be reported. B. Waiting for an hour to observe again could delay necessary interventions if there's an issue with bleeding or clot formation, so reporting immediately is more prudent.
C. Reporting the finding to the charge nurse is crucial as it indicates potential complications such as bleeding or clot formation that need immediate intervention.
D. Stopping the irrigation solution without proper assessment and guidance could lead to complications and isn't the initial action warranted in this situation. Reporting to a superior nurse allows for prompt evaluation and intervention.

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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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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Correct Answer is C

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.)