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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Notify the provider: This is not the first action. The nurse should assess and attempt to resolve the issue before escalating it to the provider.

B. Irrigate the catheter: This may be required if the catheter remains obstructed, but the nurse should first assess for and address more straightforward causes like kinks.

C. Check the catheter for kinks: This is the first step because a kink or simple obstruction in the catheter tubing is a common cause of inadequate drainage. Addressing this can resolve the issue without additional interventions.

D. Adjust the rate of the bladder irrigant: The rate of irrigation is essential to prevent clots but should not be adjusted without addressing the immediate issue of no output.

A. Avoid large crowds B. Take on a full stomach C. Increase calcium intake in your diet D. Decrease calcium intake in your diet E. Take 30-60 minutes before eating F. Increase intake of bananas and tomatoes in your diet

Correct Answer is ["A","B","C"]

Explanation

A. Prednisone can suppress the immune system, making the client more susceptible to infections, so avoiding large crowds is advisable.

B. Taking prednisone with food can help reduce gastrointestinal irritation.

C. Increased calcium intake is recommended to prevent bone loss, a common side effect of long-term corticosteroid use.

D. Decreasing calcium intake is not appropriate with prednisone use.

E. Prednisone should be taken as prescribed, typically after meals, not before.

F. Increasing potassium-rich foods like bananas and tomatoes is not advisable for a kidney transplant patient.

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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

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Naxlex Comprehensive Predictor Exams

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