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Difficulty: EasyAssignment, Delegation and Supervision

A charge nurse in a long-term rehabilitation facility is directing the daily activities of the nursing staff. Which of the following tasks can be safely assigned to the unlicensed assistive personnel (UAP)? Select all that apply.

  1. Ambulating a client who is two days post-operative and has a steady gaitAnswer
  2. B
    Providing instructions on walker usage to a client preparing for discharge
  3. Documenting the total volume of fluid consumed by a client during breakfastAnswer
  4. D
    Evaluating a client's respiratory status thirty minutes after an albuterol treatment
  5. Assisting a client with hemiparesis to put on a clean hospital gownAnswer
  6. F
    Conducting the initial admission interview for a client recently transferred from acute care

Answer

Ambulating a steady post-operative client, documenting fluid volume consumed, and assisting a client with hemiparesis to dress.
The appropriate tasks for a UAP involve routine, predictable care for stable clients. Assisting with dressing, ambulating a steady client, and recording oral fluid intake are all safe, standard procedures that do not require nursing judgment.

Step-by-Step Solution

1
Identify the role and scope of practice of the unlicensed assistive personnel (UAP).
The UAP scope includes basic care, activities of daily living (ADLs), and routine data collection on stable clients.
Understanding scope of practice ensures tasks are assigned safely and legally.
2
Recall the non-delegable nursing tasks.
Registered nurses must not delegate evaluation, assessment, or teaching.
These tasks require clinical judgment and advanced nursing knowledge.
3
Evaluate each task against the UAP's scope of practice.
Tasks involving ambulation, documenting intake, and assisting with gowns are standard and do not require clinical judgment. Tasks involving instruction, evaluating respiratory status, and conducting admission interviews violate delegation principles.
Applying the rules of delegation isolates the safe and appropriate choices.

Key Concept

Delegation of tasks to unlicensed assistive personnel (UAP) must be limited to standard, unchanging procedures that do not require clinical judgment, assessment, teaching, or evaluation.
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Topics

Assignment, Delegation and Supervision

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