The nurse and an unlicensed nursing assistant are caring for a group of clients. Which nursing intervention should the nurse perform?
A. Measure the client s output from the indwelling catheter. B. Record the client s intake and output on the I & O sheet. C. Instruct the client on appropriate fluid restrictions. D. Provide water for a client diagnosed with diabetes insipidus.
Instruct the client on appropriate fluid restrictions.-a. (incorrect) an assistant can empty the catheter and measure the amount.b. (incorrect) the assistant can record intake and output on the i & o sheet.c. (correct) the nurse cannot delegate teaching.d. (incorrect) the client has a disease, but all the assistant is being asked to do is take water to the client.test-taking hint: this is an example of an except question. frequently questions ask which tasks can be assigned to the assistant, but this question asks which action the nurse should implement. if the test taker does not read carefully, it is easy to jump to the first option for actions that the assistant can perform.