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 A
Explanation
A. Pulmonary edema: Fluid retention is a hallmark of the oliguric phase, leading to fluid overload and potential pulmonary edema.
B. Hypokalemia: Hyperkalemia, not hypokalemia, is expected in the oliguric phase.
C. Hypernatremia: Hyponatremia, rather than hypernatremia, is more likely due to dilutional effects from fluid retention.
D. Dehydration: Fluid retention and overload are characteristic of this phase, not dehydration.
Correct Answer is A
Explanation
A. Hematuria is a common symptom in polycystic kidney disease due to cyst rupture and bleeding within the kidneys.
B. Urinary retention is not typically a primary symptom of PKD.
C. Confusion is not a hallmark symptom of PKD, though it may occur in severe cases of kidney failure.
D. Hypotension is not a typical finding in PKD; clients may develop hypertension due to kidney dysfunction.
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