Which task could a nurse delegate to unlicensed assistive personnel (UAP) assigned to a cardiac surgery unit?

Teaching a client how to use a pillow to support an incision when coughing.

Checking the pedal pulses of the bed-bound clients.

Ambulating the first-day postoperative clients.

Emptying the urine drainage bags at least once per shift.

Answer and Explanation

The Correct Answer is D

Emptying the urine drainage bags at least once per shift is a task that can be delegated to unlicensed assistive personnel (UAP) assigned to a cardiac surgery unit.

This task does not require assessment, teaching, or evaluation skills that are beyond the scope of practice of UAP.

Choice A is wrong because teaching a client how to use a pillow to support an incision when coughing requires education and evaluation skills that are only within the scope of practice of licensed nurses.

Choice B is wrong because checking the pedal pulses of bed-bound clients requires assessment skills that are only within the scope of practice of licensed nurses.

Pedal pulses are important indicators of peripheral circulation and vascular status.

Choice C is wrong because ambulating the first-day postoperative clients requires assessment and evaluation skills that are only within the scope of practice of licensed nurses.

First-day postoperative clients may have complications such as bleeding, infection, or hypotension that need to be monitored by a nurse.

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Correct Answer is B

Explanation

This is because gelatin is a low-fat dessert that contains only 0.1 grams of fat per cup.

It is also low in calories and can be flavored with fruit juice or fresh fruits for added nutrition.

Choice A is wrong because a slice of fruit pie contains about 14 grams of fat per slice, which is high for a low-fat diet.

Fruit pies also have added sugar and refined flour that can increase the calorie intake.

Choice C is wrong because a bran muffin contains about 9 grams of fat per muffin, which is also high for a low-fat diet.

Bran muffins may have some fiber benefits, but they also have added sugar and oil that can make them less healthy.

Choice D is wrong because one plain doughnut contains about 11 grams of fat per doughnut, which is also high for a low-fat diet.

Doughnuts are deep-fried and have a lot of sugar and refined flour that can contribute to weight gain and health problems.

Some other examples of low-fat dessert choices are sorbet, fruit salad, yogurt, pudding, and angel food cake.

These desserts are lower in fat and calories than pies, muffins, and doughnuts, and can satisfy a sweet tooth without compromising the dietary instructions.

A. pH, 7.32; pCO2, 47 mm Hg; HCO3, 29 mEq/L; pO2, 80. B. pH, 7.34; pCO2, 49 mm Hg; HCO3, 27 mEq/L; pO2, 77. C. pH, 7.38; pCO2, 40 mm Hg; HCO3, 25 mEq/L; pO2, 88. D. pH, 7.48; pCO2, 43 mm Hg; HCO3, 23 mEq/L; pO2, 85.

Correct Answer is C

Explanation

This is because it shows a normal pH, pCO2, HCO3 and pO2, indicating that the treatment has been effective in restoring normal gas exchange and acid- base balance.

Choice A is wrong because it shows a low pH, high pCO2 and high HCO3, indicating a mixed respiratory and metabolic acidosis.

Choice B is wrong because it shows a low pH, high pCO2 and low HCO3, indicating a combined respiratory and metabolic acidosis.

Choice D is wrong because it shows a high pH, low pCO2 and low HCO3, indicating a mixed respiratory and metabolic alkalosis.

The normal ranges for arterial blood gas (ABG) are:

pH: 7.35 – 7.45
pO2: 10 – 14 kPa or 75 – 105 mmHg
pCO2: 4.5 – 6 kPa or 34 – 45 mmHg

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Which task could a nurse delegate to unlicensed assistive personnel (UAP) assigned to a cardiac surgery unit?

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