Pain Management Nursing Practice Exam

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1 / 20

What task is appropriate to delegate to UAP regarding a client with urinary retention?

Assessing bladder distention and pain associated with urinary retention

Inserting the indwelling catheter after verifying knowledge of sterile technique

Evaluating the relief of pain and bladder distention after catheter insertion

Measuring urine output after catheter insertion and obtaining a specimen

Delegating the task of measuring urine output after catheter insertion and obtaining a specimen to a Unlicensed Assistive Personnel (UAP) is appropriate because it involves routine and non-invasive tasks that fall within the UAP's scope of practice. Once the catheter has been inserted by a licensed nurse or a qualified healthcare professional, the UAP can easily and accurately measure the amount of urine collected, ensuring that vital information about the patient’s urinary function is documented.

Additionally, obtaining a specimen for laboratory analysis is a straightforward task that typically requires minimal training, making it suitable for UAPs. This helps to ensure that nurses can focus on the more complex nursing assessments, evaluations, and interventions that require critical thinking and professional judgment.

The other options involve tasks that require a higher level of clinical judgment and assessment skills. For example, assessing bladder distention and pain involves evaluating the patient's condition, which should be performed by a licensed nurse. Inserting the indwelling catheter necessitates sterile technique and knowledge that UAPs do not possess. Lastly, evaluating the relief of pain and bladder distention after catheter insertion requires critical assessment skills to determine the patient's response to the intervention, which is also best handled by a licensed nurse. Thus, delegating routine measurement and

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