Author Question: The nurse is documenting the insertion of a retention catheter for a client. What should be included ... (Read 28 times)

lilldybug07 · **on:** Jul 23, 2018

The nurse is documenting the insertion of a retention catheter for a client. What should be included in this documentation?

1. Catheter size
2. Location of the drainage bag
3. Amount of urine that drained after insertion
4. Name of the physician who prescribed the insertion of the catheter
5. Client tolerance of the procedure

Question 2

The nurse is determining tasks to delegate to unlicensed assistive personnel (UAP). Which task should the nurse question before delegating to this level of health care provider?

1. Measuring intake and output
2. Assessing vital signs for clients who are clinically stable
3. Performing complete morning care for a client recovering from a stroke
4. Inserting a urinary catheter into a client

Sweetkitty24130 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1, 3, 5
Rationale: The nurse should document the catheterization procedure, including the catheter size.

Answer to Question 2

Correct Answer: 4
Rationale 1: This skill can be delegated to UAP.
Rationale 2: This skill can be delegated to UAP.
Rationale 3: This activity can be delegated to UAP.
Rationale 4: Due to the need for sterile technique and detailed knowledge of anatomy, insertion of a urinary catheter is not delegated to UAP.