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The Nurse Is Caring for a Client Who Needs an Indwelling

Question 54

Multiple Choice

The nurse is caring for a client who needs an indwelling urinary catheter inserted for urinary retention.  Which tasks would be appropriate to delegate to the unlicensed assistive personnel?  Select all that apply.


A) Document output from the urinary collection bag
B) Hold adipose tissue out of the way during catheter insertion
C) Monitor color of the urine after the nurse has assessed it
D) Reinforce education about the purpose of the urinary catheter
E) Secure the catheter to the client's thigh with an anchor

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