The practical nurse (PN) is assigning tasks to an unlicensed assistive personnel (UAP) who is giving basic care to a group of residents in a long-term care facility. Which client's task should be completed by a PN, rather than the UAP?
Explanation & Rationale
A. A client with paraplegia who needs a urinary condom-catheter change: UAPs can safely apply or change external (condom) catheters as part of routine hygiene care under PN supervision, since the procedure is noninvasive and low risk. B. A client with a full urinary bedside drainage unit after receiving a diuretic: Emptying and measuring urine output from a drainage bag is a basic nursing assistant task that does not require clinical judgment, making it appropriate for a UAP. C. A client with urinary urgency and incontinence who is asking for a bedpan: Providing and assisting with a bedpan falls within the UAP’s role since it involves basic elimination care and observation without requiring skilled assessment. D. A client with continuous urinary bladder irrigation via a 3-way catheter: Managing a continuous bladder irrigation requires nursing judgment to monitor flow rate, assess for obstruction, and evaluate urine color and output. This invasive and skilled procedure must be performed by a PN or RN, not a UAP.