A nurse working in the Dialysis unit is planning the job responsibilities for the shift. Which interventions can be delegated to the unlicensed assistive personnel (UAP)? Select all that apply
Draw daily labs
Transport the urine specimen to the lab
Provide perineal care with soap and water around a urinary catheter
Insert the foley catheter
Assist the incontinent patient to the commode at regular intervals
Correct Answer : B,C,E
A. Drawing daily labs: This is a clinical task that requires specialized knowledge and skills and should not be delegated to UAP.
B. Transport the urine specimen to the lab: This is a non-clinical task that UAP can perform.
C. Provide perineal care with soap and water around a urinary catheter: UAP can assist with perineal care as it is a routine task that does not require clinical judgment.
D. Insert the foley catheter: Inserting a Foley catheter is a sterile procedure requiring clinical expertise and cannot be delegated to UAP.
E. Assist the incontinent patient to the commode at regular intervals: UAP can assist with toileting and incontinence care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Temperature 36.1° C (97.0°F): A low or normal temperature is not indicative of organ rejection. Fever (≥ 38°C / 100.4°F) is a more concerning sign and may suggest rejection or infection.
B. Weight loss: Rejection often leads to fluid retention, not weight loss. Clients may actually experience weight gain due to fluid overload.
C. Hypertension: Hypertension is a key indicator of acute kidney rejection due to inflammation and impaired kidney function, leading to fluid retention and increased blood pressure. Rejection can cause renal vascular resistance and reduced urine output, leading to fluid overload and elevated blood pressure.
D. Insomnia: Insomnia is not a direct symptom of rejection. It may be due to medications like corticosteroids (e.g., prednisone), anxiety, or post-transplant stress.
Correct Answer is D
Explanation
A. A bleeding ulcer is not typically associated with acute glomerulonephritis.
B. Hypertension can be a consequence of glomerulonephritis, but it is not the primary cause.
C. Fungal infections are not typically associated with glomerulonephritis.
D. A recent streptococcal infection, particularly throat or skin infections, is often linked to the development of acute glomerulonephritis.
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