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.)
Explanation & Rationale
A. Transport a urine culture sample to the laboratory: Transporting specimens is within the UAP’s scope of practice. It involves safe handling and timely delivery but does not require clinical judgment or assessment skills, making it appropriate to delegate. B. Empty bedside drainage unit for a client with indwelling urinary catheter: UAPs are trained to empty catheter drainage bags and record output. This task is routine, does not involve sterile technique beyond standard precautions, and falls within their competency. C. Teach the client with fluid restrictions how to measure urine output: Teaching requires assessment, explanation, and evaluation of client understanding, which are nursing responsibilities. The UAP cannot independently provide education or evaluate comprehension. D. Irrigate an indwelling urinary catheter for a client with bladder suspension: Catheter irrigation is a sterile, invasive procedure requiring clinical judgment and monitoring for complications. This task must be performed by licensed nursing personnel, not a UAP. E. Obtain a post-voided residual (PVR) volume: Measuring PVR often involves using a bladder scanner and interpreting results, requiring assessment skills and clinical decision-making. This is outside the UAP’s scope and must be performed by a licensed nurse.