A registered nurse asks an unlicensed assistive person to measure a stable client's urine output. Which instruction is most appropriate?
Correct answer: A. Report the amount and any unusual appearance after each measurement
- A. Report the amount and any unusual appearance after each measurement
- B. Decide whether the amount indicates kidney failure
- C. Increase the client's fluids if the amount is low
- D. Omit the measurement when the client uses the toilet
Explanation
The UAP can measure and report objective data, including unusual urine appearance, when the client is stable. The RN interprets the finding and decides whether further assessment or intervention is needed.
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About Delegation and Assignment (NCLEX)
Delegation and assignment cover how the registered nurse allocates care according to patient stability, task complexity, staff competence and legal scope. The five rights of delegation, supervision, communication and follow-up are linked to the difference between an RN, LPN or LVN, and unlicensed assistive personnel, while accountability for overall nursing care remains with the RN.
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50 free Delegation and Assignment (NCLEX) MCQs from International Nursing Practice, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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