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 A

Explanation

A. Grunting and sternal retractions in a newborn of a mother with poorly controlled diabetes could indicate hyperinsulinemia, where the baby is experiencing hypoglycemia due to high insulin levels passed from the mother during gestation.
B. Ventral septal defect (VSD) is a congenital heart defect that typically doesn't present with grunting and sternal retractions.
C. Hypothyroidism is unlikely to cause grunting and sternal retractions in a newborn and usually manifests differently.
D. Patent ductus arteriosus (PDA) is a heart condition in newborns that might present with other signs such as a heart murmur but is not typically associated with grunting and sternal retractions.

A. Ineffective pain management was reported while using morphine PCA. B. Inability to void 4 hours after discontinuing an indwelling catheter. C. Oral ice chips for 30 minutes were eaten after vomiting postoperatively. D. Coffee-ground secretions draining via nasogastric tube suction.

Correct Answer is D

Explanation

A. Ineffective pain management reported while using morphine PCA is concerning but may not be immediately life-threatening.
B. Inability to void after discontinuing an indwelling catheter should be addressed but might not require immediate attention.
C. Oral ice chips eaten after vomiting postoperatively might need monitoring, but it's not typically an urgent issue.
D. Coffee-ground secretions draining via nasogastric tube suction could indicate bleeding in the upper gastrointestinal tract, which requires immediate attention due to the potential for severe
bleeding.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is caring for a newborn whose mother has poorly controlled type 1 diabetes mellitus and observes the newborn is grunting with mild sternal retractions. The PN should recognize the newborn is exhibiting signs of which condition?

Correct Answer is A

Explanation

Which client finding should the practical nurse (PN) report to the registered nurse (RN) immediately?

Correct Answer is D

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.)