A charge nurse is reviewing the list of tasks that have been delegated to the assistive personnel (AP) by the staff nurse. Which of the following tasks should the charge nurse reassign to a licensed nurse?

Removing and cleaning the cannula of a client who has a new tracheostomy

Providing a back rub to a client who has right-sided paralysis

Transporting a client who experienced a stroke 72 hr ago to the radiology department

Performing oral hygiene for a client who is 1 day postoperative following an amputation of the right arm

Answer and Explanation

The Correct Answer is A

A.   Removing and cleaning the cannula of a tracheostomy requires specialized training and should be performed by a licensed nurse or respiratory therapist.
B.   Providing a back rub is within the scope of practice for assistive personnel and does not require specialized training.
C.   Transporting a client to the radiology department does not require specialized nursing skills and can be safely performed by assistive personnel.
D.   Performing oral hygiene for a client postoperative following an amputation does not require specialized nursing skills and can be safely performed by assistive personnel.

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Correct Answer is A

Explanation

A. Lactulose is commonly prescribed for clients with cirrhosis to reduce blood ammonia levels by promoting the excretion of ammonia in the stool. Elevated ammonia levels can lead to hepatic encephalopathy.
B. Lactulose does not directly affect glucose levels in the bloodstream. Its primary action is on ammonia.
C. Bicarbonate levels are not typically targeted by lactulose therapy in cirrhosis.

D. Lactulose does not affect potassium levels directly. Its main therapeutic action in cirrhosis is related to reducing ammonia levels.

A. Insulin glargine has a duration of 24 to 36 hr. B. Insulin glargine has a duration of 14 to 22 hr. C. Insulin glargine has a duration of 6 to 10 hr. D. Insulin glargine has a duration of 3 to 6 hr.

Correct Answer is A

Explanation

A. Insulin glargine is a long-acting insulin with a duration of action of approximately 24 to 36 hours, providing basal insulin coverage throughout the day.
B. This duration range does not accurately represent insulin glargine, which is a long-acting insulin.
C. Insulin glargine has a much longer duration of action than 6 to 10 hours.

D. Insulin glargine is a long-acting insulin and does not have a duration of action as short as 3 to 6 hours.

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A charge nurse is reviewing the list of tasks that have been delegated to the assistive personnel (AP) by the staff nurse. Which of the following tasks should the charge nurse reassign to a licensed nurse?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is providing teaching for a client who has diabetes and a new prescription for insulin glargine. Which of the following instructions should the nurse provide regarding this type of insulin?

Correct Answer is A

Explanation

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