After delegating to an unlicensed assistive personnel (UAP) the ...

[hbsimmons88]

After delegating to an unlicensed assistive personnel (UAP) the task of completing a bladder scan examination for a client, the nurse evaluates the UAP's performance.
 
  Which action by the UAP indicates the nurse must provide additional instructions when delegating this task?
 
  a.
  Selecting the female icon for all female clients and male icon for all male clients
  b.
  Telling the client, This test measures the amount of urine in your bladder.
  c.
  Applying ultrasound gel to the scanning head and removing it when finished
  d.
  Taking at least two readings using the aiming icon to place the scanning head

Question 2

A nurse teaches a client who is recovering from a urography. Which instruction should the nurse include in this client's discharge teaching?
 
  a. Avoid direct contact with your urine for 24 hours until the radioisotope clears.
  b. You may have some dribbling of urine for several weeks after this procedure.
  c. Be sure to drink at least 3 liters of fluids today to help eliminate the dye faster.
  d. Your skin may become slightly yellow from the dye used in this procedure.

[nothere]

Answer to Question 1

ANS: A
The UAP should use the female icon for women who have not had a hysterectomy. This allows the scanner to subtract the volume of the uterus from readings. If a woman has had a hysterectomy, the UAP should choose the male icon. The UAP should explain the procedure to the client, apply gel to the scanning head and clean it after use, and take at least two readings.

Answer to Question 2

ANS: C
Dyes used in urography are potentially nephrotoxic. A large fluid intake will help the client eliminate the dye rapidly. Dyes used in urography are not radioactive, the client should not experience any dribbling of urine, and the dye should not change the color of the client's skin.