The nurse is caring for a patient who has had an ileal conduit for several years. Which nursing action could be delegated to unlicensed assistive personnel (UAP)?
a. Change the ostomy appliance.
b. Choose the appropriate ostomy bag.
c. Monitor the appearance of the stoma.
d. Assess for possible urinary tract infection (UTI).
ANS: A
Changing the ostomy appliance for a stable patient could be done by UAP. Assessments of the site, choosing the appropriate ostomy bag, and assessing for (UTI) symptoms require more education and scope of practice and should be done by the registered nurse (RN).
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A nurse is caring for a patient with chronic bronchiectasis. The nurse should assess the patient for which of the following clinical manifestations?
A) Hemoptysis B) Angina C) Pigeon chest D) Pulmonary hypertension
The nurse informs a client that the factor that places her at risk for cancer of the cervix is
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a. Apply ice. b. Observe for edema and discoloration. c. Encourage child to assume a position of comfort. d. Obtain parental permission for administration of acetaminophen or aspirin.