HESI RN EXIT 3 PROCTORED EXAM
The nurse instructs an unlicensed assistive personnel (UAP) to turn an immobilized older client with an indwelling urinary catheter every two hours. Which additional action should the nurse instruct the UAP to take each time the client is turned?
Explanation & Rationale
A. Offer the client oral fluids. Offering fluids is important but is not directly related to turning the client or managing the urinary catheter. B. Assess the breath sounds. Assessing breath sounds is beyond the scope of practice for a UAP. C. Empty the urinary drainage bag. This action helps maintain catheter function and reduces the risk of infection by preventing urine from backing up in the bladder. D. Feed the client a snack. Feeding the client is important but is not related to turning the client or managing the urinary catheter.
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