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 C
Explanation
A. Complete blood count: Primarily measures the number of blood cells and their types. It does not directly assess the effectiveness of warfarin.
B. Creatinine clearance: Evaluates kidney function and doesn't directly reflect the efficacy of warfarin.
C. Prothrombin time (PT): Measures the time taken for blood to clot, an essential indicator for monitoring anticoagulation therapy like warfarin.
D. Serum troponin levels: Assesses cardiac damage and is not indicative of warfarin's effectiveness in managing atrial fibrillation.
Correct Answer is C
Explanation
A. Oriented x 3. - The client must recall the time, day, date, location, and reason for being there to be considered oriented x 3. As the client can only remember his name and location, it does not fulfill the criteria for oriented x 3.
B. Oriented x 1. - This is inaccurate as the patient is oriented in two aspects: person and place.
C. Oriented x 2. - The client recalls their name and place, hence is oriented in two aspects. This is therefore accurate.
D. Oriented x 4. - This would require the client to recall all four aspects of orientation (time, day, date, location, and reason for being there), which the client did not demonstrate in this scenario.
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