A pregnant client asks why her urine is checked every visit for ...

[swpotter12]

A pregnant client asks why her urine is checked every visit for glucose and protein. The nurse explains that the purpose of the test is to monitor for the development of
 
  a. diabetes and chronic hypertension
  b. diabetes and PIH
  c. pyelonephritis and diabetes
  d. urinary tract infection and PIH

Question 2

In an effort to reduce prohibitive health care costs, many facilities have incorporated the use of unlicensed assistive personnel into their care delivery model.
 
  Nurses supervising these employees must be aware of what each such employee is competent to do within his or her scope of practice. Which tasks can be delegated with supervision? Select all that apply. a. Blood draws
  b. Medication administration
  c. Nursing assessment
  d. Housekeeping tasks
  e. Other diagnostic tests, such as electrocardiograms (ECGs or EKGs)

[Sophiapenny]

Answer to Question 1

B
Glucose is monitored to check for gestational diabetes, and protein in the urine is indicative of pregnancy-induced hypertension. Testing the urine for glucose and protein is for monitoring chronic hypertension and not for monitoring for pyelonephritis. Urinary tract infection would show white blood cells in the urine.

Answer to Question 2

A, B, D, E
Feedback
Correct With proper supervision and adequate instruction, unlicensed assistive
personnel may perform all of these functions. In school settings, these
personnel may be responsible for medication administration under the
direction of the registered nurse (RN).
Incorrect The nurse is always responsible for patient assessments and must make
critical judgments to ensure patient safety. Use of the expert nurse to
complete housekeeping or other mundane tasks is not a good use of human
resources. For more information about the use of unlicensed personnel,
refer to www.awhonn.org.