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Difficulty: MediumAssignment, Delegation and Supervision

A registered nurse (RN) and an unlicensed assistive personnel (UAP) are working together on a nephrology unit. Which of the following client care activities is most appropriate for the RN to delegate to the UAP?

  1. Recording the volume of urine emptied from an indwelling catheter collection bag for a client with acute kidney injury.Answer
  2. B
    Palpating the thrill of a mature arteriovenous (AV) fistula prior to a client's scheduled hemodialysis.
  3. C
    Explaining the purpose of a prescribed fluid restriction to a client newly diagnosed with end-stage renal disease.
  4. D
    Obtaining the initial set of vital signs for a client who has just returned to the unit following a percutaneous kidney biopsy.

Answer

Recording the volume of urine emptied from an indwelling catheter collection bag for a client with acute kidney injury.
Measuring and recording intake and output, including emptying indwelling catheter bags, is a routine and predictable task that does not require independent nursing judgment. Therefore, it is safely within the scope of practice for an unlicensed assistive personnel (UAP), regardless of the client's diagnosis.

Step-by-Step Solution

1
Analyze the scope of practice for an unlicensed assistive personnel (UAP).
Identify that UAPs can perform routine, standard, and predictable tasks for stable clients, but cannot perform tasks requiring nursing judgment, assessment, teaching, or evaluation (the 'EAT' acronym).
This establishes the criteria for safe delegation.
2
Evaluate each provided task against the UAP scope of practice.
Determine that palpating a fistula requires assessment, explaining fluid restriction requires teaching, and taking initial post-procedure vital signs requires assessment and clinical judgment for a potentially unstable client.
This eliminates inappropriate tasks based on the established delegation criteria.
3
Identify the task that falls within the UAP's capabilities.
Select the task of measuring and recording urine output from a catheter.
This is a routine, predictable task that does not require independent nursing judgment, even if the client has an acute condition.

Key Concept

Delegation of tasks to Unlicensed Assistive Personnel (UAP)
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Topics

Assignment, Delegation and Supervision

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