Which action included in the care of a patient after laminectomy can the nurse delegate to experienced unlicensed assistive personnel (UAP)?

Check ability to plantar and dorsiflex the foot.

Log roll the patient from side to side every 2 hours.

Ask about pain management with the patient-controlled analgesia (PCA).

Determine the patient's readiness to ambulate.

Answer and Explanation

The Correct Answer is B

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. .

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Correct Answer is A

Explanation

Choice A rationale

Using a Foley catheter can help prevent skin breakdown caused by prolonged contact with urine in incontinent patients, especially if they are confused or non-ambulatory and unable to use other urinary devices. Maintaining intact skin is crucial to avoiding infections and pressure injuries, making a Foley catheter a suitable intervention in specific cases when prescribed.

Choice B rationale

Foley catheters are not inherently inappropriate but must be prescribed judiciously due to risks like urinary tract infections. While alternative methods may be preferable, this intervention is justified for incontinent, immobile patients with compromised mental status to protect skin integrity. It aligns with clinical guidelines and patient-specific needs.

A. Long-acting insulin. B. Rapid-acting insulin. C. Intermediate-acting insulin. D. Short-acting insulin.

Correct Answer is A

Explanation

Choice A rationale

Insulin glargine (Lantus) is a long-acting insulin used for basal glycemic control in diabetic patients. It has a slow onset and a steady release over approximately 24 hours, mimicking natural insulin secretion to stabilize blood glucose levels and prevent fluctuations.

Choice B rationale

Rapid-acting insulins, such as insulin lispro or aspart, have fast onsets and short durations to manage postprandial glucose spikes. Insulin glargine does not have these properties, as it is used for long-term basal control rather than immediate blood sugar regulation.

Choice C rationale

Intermediate-acting insulins like NPH have a shorter duration and peak effect compared to long-acting insulins. Insulin glargine provides a consistent effect over 24 hours, distinguishing it from intermediate-acting options.

Choice D rationale

Short-acting insulins are designed for pre-meal blood sugar control with a quick onset and limited duration. Insulin glargine does not fit this description due to its long-acting properties.

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Which action included in the care of a patient after laminectomy can the nurse delegate to experienced unlicensed assistive personnel (UAP)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The student nurses ask the RN if a Foley catheter would be an appropriate intervention to protect intact skin for a patient who is not ambulatory, incontinent, and confused.The nurse knows that it would be appropriate to ask the physician for an order to place a Foley catheter for this patient.

Correct Answer is A

Explanation

Insulin glargine (Lantus) is what type of insulin?

Correct Answer is A

Explanation

The physician orders strict I & O for a critically ill patient with CHF on a furosemide drip.The RN knows that it would be appropriate to ask the physician for an order to place a Foley catheter for this patient.

If both Insulin glargine (Lantus) and insulin lispro (Humalog) are due simultaneously, the nurse can mix the two insulins in the same syringe and administer them as one injection.

The patient's meal has been delivered, and the nurse checks the patient's pre-meal blood sugar.The result is 69 mg/dL. The patient is awake, alert, hungry, and able to swallow.The next step the nurse should take is:

Metformin works by:

The patient's meal has been delivered, the nurse checks the patient's pre-meal blood sugar, and the result is 85 mg/dL. The patient is awake, alert, hungry, and able to swallow.The next step the nurse should take is:

Insulin lispro (Humalog) is what type of insulin?

After a change-of-shift report, which patient should the nurse assess first?

Indicate four assessment findings which require immediate follow-up.