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. Weight gain B. Creatinine level of 1.0 (0.6-1.2 mg/dL) C. GFR of 100 mL/min (>90 ml/min) D. Weight loss

Correct Answer is D

Explanation

A. Weight gain is typically seen in the oliguric phase, not the diuresis phase. In the diuresis phase, the client is excreting excess fluid, leading to weight loss.

B. A creatinine level of 1.0 is within the normal range and would not be expected during the diuresis phase of acute kidney injury, when creatinine levels would still be elevated.

C. GFR of 100 mL/min is normal, but in acute kidney injury, the GFR would be decreased. A GFR above 90 mL/min would not be expected in the diuresis phase.

D. Weight loss is a key finding in the diuresis phase due to the loss of excess fluids as the kidneys begin to recover.

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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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Explanation

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Correct Answer is D

Explanation

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