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 D

Explanation

A. Hepatotoxic medications can contribute to liver damage but are not a primary cause of biliary cirrhosis. However, they can contribute to cirrhosis through other mechanisms.
B. Hepatitis C is a viral infection that primarily affects the liver and can lead to cirrhosis, but it is not specifically classified as a cause of biliary cirrhosis.
C. Excessive alcohol consumption can cause alcoholic liver disease, which may progress to

cirrhosis, but it is not directly related to biliary cirrhosis, which is characterized by damage to the bile ducts.
D. Biliary cirrhosis, also known as primary biliary cirrhosis (PBC) or primary biliary cholangitis (PBC), is a chronic liver disease characterized by progressive destruction of the bile ducts in the liver. Obstruction of the bile ducts contributes to the development of biliary cirrhosis.

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about causes of biliary cirrhosis. Which of the following information should the nurse include in the teaching?

Correct Answer is D

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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