Appendicitis is the most common reason for emergency abdominal surgery.

Choice A rationale

Lispro (Humalog) is a rapid-acting insulin used for mealtime glucose control. It has an onset of 15 minutes and peaks within 30 minutes to 1 hour, making it unsuitable for basal dosing.

Choice B rationale

Aspart (NovoLog), another rapid-acting insulin, is similar to lispro in its onset and peak times. It is also used for mealtime glucose control, not basal glucose regulation.

Choice C rationale

Regular insulin (Humulin R) is a short-acting insulin with an onset of 30 minutes to 1 hour and a peak of 2 to 4 hours. It cannot provide the steady basal glucose control required for 24-hour coverage.

Choice D rationale

Glargine (Lantus) is a long-acting insulin that provides consistent basal glucose control with no pronounced peak. It is designed for once-daily dosing to maintain stable glucose levels over 24 hours, meeting the requirements for basal dosing. .

Choice A rationale

Checking plantar and dorsiflexion assesses neurological status requiring nursing expertise and cannot be delegated to UAP.

Choice B rationale

Log rolling every 2 hours maintains spinal alignment post-laminectomy, a straightforward, standardized task suitable for experienced UAP.

Choice C rationale

PCA assessment involves evaluating pain control methods, which require critical nursing judgments and is not appropriate to delegate.

Choice D rationale

Determining readiness to ambulate involves comprehensive assessment skills, evaluating multiple factors like pain, strength, and hemodynamic stability, beyond UAP’s scope of practice. .