A client has returned to the nursing unit after a prostatectomy. Which activities does the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
a. Demonstrating how to use the incentive spirometer
b. Measuring and recording output from the in-dwelling catheter
c. Encouraging the client to get out of bed and into the chair
d. Irrigating the catheter with normal saline for blood clots
e. Re-taping the catheter tape if the client reports pain
B, C
The UAP can assess and document intake and output and can encourage the client to get out of bed. Use of the incentive spirometer is taught by the nurse or respiratory therapist. The catheter is irrigated by the nurse. The catheter should be taped so that slight traction is left on it to help with bleeding; this may cause discomfort and would need to be explained to the client. The catheter should not be repositioned and then re-taped.
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The nurse manager has been charged with evaluating and determining if the current system of team nursing is efficient and cost effective for the unit
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