Author Question: After delegating care to an unlicensed assistive personnel (UAP) for a client who is prescribed ... (Read 72 times)

APUS57 · **on:** Jun 25, 2018

After delegating care to an unlicensed assistive personnel (UAP) for a client who is prescribed habit training to manage incontinence, a nurse evaluates the UAP's understanding. Which action indicates the UAP needs additional teaching?

a. Toileting the client after breakfast
b. Changing the client's incontinence brief when wet
c. Encouraging the client to drink fluids
d. Recording the client's incontinence episodes

Question 2

A confused client with pneumonia is admitted with an indwelling catheter in place. During interdisciplinary rounds the following day, which question should the nurse ask the primary health care provider?

a. Do you want daily weights on this client?
b. Will the client be able to return home?
c. Can we discontinue the indwelling catheter?
d. Should we get another chest x-ray today?

olivia_paige29 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
Habit training is undermined by the use of absorbent incontinence briefs or pads. The nurse should re-educate the UAP on the technique of habit training. The UAP should continue to toilet the client after meals, encourage the client to drink fluids, and record incontinent episodes.

Answer to Question 2

ANS: C
An indwelling catheter dramatically increases the risks of urinary tract infection and urosepsis. Nursing staff should ensure that catheters are left in place only as long as they are medically needed. The nurse should inquire about removing the catheter. All other questions might be appropriate, but because of client safety, this question takes priority.