When caring for a patient who is using Buck’s traction after a hip fracture, which action can the nurse delegate to unlicensed assistive personnel (UAP)?

Correct Answer: B

Rationale: Correct Answer: B Rationale: 1. Ensuring the weight for traction hangs freely prevents complications and maintains proper alignment. 2. This task does not require specialized skills or judgment, making it suitable for delegation to UAP. 3. UAP can be trained to understand the importance of maintaining proper traction alignment. 4. Monitoring skin condition (C) requires assessment skills, removing/reapplying traction (A) is a specialized task, and checking sensation/movement (D) requires clinical judgment.

Correct Answer: B

Rationale: The correct answer is B, assisting the patient to sit up at the bedside. This is important to prevent esophageal irritation and ensure proper absorption of alendronate. Sitting up allows gravity to assist in moving the medication down the esophagus and reduces the risk of esophageal ulceration. Asking about leg cramps or hot flashes (A) is not directly related to the administration of alendronate. Ensuring the patient has recently eaten (C) is not necessary for alendronate administration. Administering calcium carbonate (D) is not indicated in this scenario as the focus is on alendronate administration.

Correct Answer: B

Rationale: The correct answer is B: Keep the knees straight when leaning forward to pick something up. This recommendation can increase stress on the lower back and worsen the pain. To prevent low back pain, it is important to bend the knees and use proper body mechanics when lifting objects. The other choices are correct: A: Sleeping in a prone position with the legs extended can help alleviate back pain; C: Acute low back pain typically improves within a few weeks with proper management; D: Avoiding activities that require twisting of the back or prolonged sitting can prevent exacerbation of low back pain.

Correct Answer: A

Rationale: The correct answer is A: Scaling papules. Papulosquamous dermatoses like psoriasis are characterized by scaly papules on the skin. The term "papulosquamous" refers to papules (small, raised bumps) with scales. Psoriasis specifically presents as red, scaly patches on the skin. The other choices are incorrect because B: Granular scabbing is not a typical feature of papulosquamous dermatoses, C: Raised red borders are more indicative of other skin conditions like eczema, and D: Nodular ulcerations are not commonly associated with papulosquamous dermatoses.

Correct Answer: B

Rationale: The correct answer is B: Repositioning the client on a scheduled basis. This is crucial in preventing pressure ulcers in immobile patients by relieving pressure on vulnerable areas. Repositioning helps to improve blood flow, reduce tissue damage, and prevent skin breakdown. Prophylactic antibiotics (Choice A) are not indicated for pressure ulcer prevention. Applying protective dressings (Choice C) may offer some protection but does not address the root cause of pressure ulcers. Parenteral nutrition (Choice D) is important for providing essential nutrients but is not directly related to preventing pressure ulcers. In summary, regular repositioning is the most effective measure in preventing pressure ulcers in immobile patients.