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Difficulty: EasyAssignment, Delegation and Supervision

The nurse on a progressive care unit is organizing morning care for a group of stable adult clients. Which interventions should the nurse safely delegate to the unlicensed assistive personnel (UAP)? (Select all that apply)

  1. Turning and positioning a client who is recovering from a cerebrovascular accident.Answer
  2. Measuring and documenting a client's axillary temperature.Answer
  3. Providing routine oral hygiene for an unconscious client.Answer
  4. D
    Instructing a postoperative client on how to splint their abdominal incision.
  5. E
    Performing a focused respiratory assessment on a newly admitted client.
  6. F
    Evaluating a client's swallowing ability after the removal of an endotracheal tube.

Answer

The appropriate tasks to delegate to a UAP are turning and positioning a client, measuring and documenting axillary temperature, and providing routine oral hygiene.
Delegating standard, routine care tasks such as positioning, obtaining vital signs, and providing basic hygiene is appropriate for a UAP. These tasks have predictable outcomes, involve minimal risk to stable clients, and do not require independent nursing judgment, assessment, or teaching.

Step-by-Step Solution

1
Identify the licensure and scope of practice of the individual receiving the delegation.
The individual is an unlicensed assistive personnel (UAP).
Delegation must align with the personnel's educational background and legal scope of practice.
2
Apply the principles of safe delegation.
Tasks requiring clinical judgment, nursing assessment, patient education, or evaluation cannot be delegated to a UAP.
The registered nurse retains accountability for the nursing process and cannot delegate evaluation, assessment, or teaching.
3
Evaluate each proposed task against the UAP's scope of practice.
Positioning, measuring vital signs, and basic hygiene are standard procedures that do not require nursing judgment.
These are considered routine activities of daily living and standard care tasks, making them safe to delegate.

Key Concept

Scope of practice and appropriate delegation to Unlicensed Assistive Personnel (UAP).
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Topics

Assignment, Delegation and Supervision

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