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
Explanation
A. Requesting that the visitor leave is an unnecessary disruption that violates the client's right to privacy, autonomy, and personal relationships within her living space. Long-term care facilities are considered the residents' homes, and intimacy between consenting adults should be respected.
B. Exiting the room and quietly closing the door is the most appropriate initial action. It protects the client’s privacy, dignity, and autonomy. Residents in long-term care facilities retain their rights to consensual sexual expression and privacy, provided both parties are consenting and it does not infringe on the rights of others.
C. Asking when the nurse should return while the couple is still in bed compromises their privacy and can cause unnecessary embarrassment or discomfort for the client and her guest.
D. Reporting the incident to the family is a direct violation of the client's right to confidentiality and privacy. Unless the client is cognitively impaired and there is a concern regarding abuse or lack of consent, the nurse has no ethical or legal grounds to share the resident's private behavior with family members.
Correct Answer is ["A","C","D"]
Explanation
Rationale:
A. Oxygen concentration in the air affects the available oxygen for breathing during submersion.
B. While witnessing the fall is important for response time, it doesn’t directly affect the level of hypoxemia.
C. Water temperature impacts the body's response to submersion, affecting oxygen utilization.
D. The duration of submersion directly correlates with the level of hypoxemia.
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