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.).
Obtain a post-voided residual (PVR) volume.
Teach the client with fluid restrictions how to measure urine output.
Empty bedside drainage unit for a client with an indwelling urinary catheter.
Irrigate an indwelling urinary catheter for a client with bladder suspension.
Transport a urine culture sample to the laboratory.
Correct Answer : A,C,E
Choice A rationale:
Obtaining a post-voided residual (PVR) volume is a non-invasive procedure that can be safely delegated to the unlicensed assistive personnel (UAP) to measure the amount of urine left in the bladder after urination.
Choice B rationale:
Teaching the client with fluid restrictions how to measure urine output requires specialized knowledge and is best performed by the practical nurse (PN).
Choice C rationale:
Emptying the bedside drainage unit for a client with an indwelling urinary catheter is a task that can be delegated to the UAP as it involves routine drainage and does not require advanced nursing skills.
Choice D rationale:
Irrigating an indwelling urinary catheter for a client with bladder suspension is a sterile procedure that requires nursing expertise, so it should not be assigned to the unlicensed assistive personnel.
Choice E rationale:
Transporting a urine culture sample to the laboratory is a non-complex task that can be safely delegated to the UAP to ensure timely and efficient delivery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.6"]
Explanation
Step 1: The medication is prescribed as 30 mg every 12 hours, which means it is given twice a day. So, the total daily dosage in mg is 30 mg × 2 = 60 mg.
Step 2: The medication is available in 30 mg per 0.3 mL. So, to find out how many mL correspond to 60 mg, we set up a proportion: (30 mg / 0.3 mL) = (60 mg / x mL). Solving for x gives x = (0.3 mL / 30 mg) × 60 mg = 0.6 mL.
Therefore, the practical nurse should administer 0.6 mL of the medication each day.
Correct Answer is A
Explanation
The correct answer is choicea. Teach the client to use a straw when taking the medication to reduce further tooth staining.
Choice A rationale:
Using a straw when taking liquid iron preparations helps minimize contact with the teeth, thereby reducing the risk of staining.
Choice B rationale:
While tooth discoloration can indicate that the iron is being absorbed, it is not a desired effect and should be managed to prevent cosmetic concerns.
Choice C rationale:
Assessing for mouth or gum pain and difficulty swallowing is important but not directly related to the issue of tooth staining.
Choice D rationale:
Advising the client to withhold doses without consulting a healthcare provider could lead to non-compliance and inadequate treatment of iron deficiency.
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