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Difficulty: EasyAssignment, Delegation and Supervision

A nursing team is planning care assignments on a general medical unit for a group of stable clients. The staff mix consists of a registered nurse and one unlicensed assistive personnel (UAP). Which of the following client care activities are appropriate to assign to the UAP? Select all that apply.

  1. Emptying a urinary drainage bag and recording the total output volume.Answer
  2. B
    Evaluating a client's pain level thirty minutes after oral analgesic administration.
  3. Assisting a client who is recovering from a stable fractured femur with a bed bath.Answer
  4. Documenting the vital signs of a client who is preparing for routine discharge.Answer
  5. E
    Instructing a newly admitted client on how to perform deep breathing exercises.

Answer

Emptying a urinary drainage bag, assisting with a bed bath, and documenting routine vital signs.
Tasks such as measuring basic intake and output, assisting with personal hygiene, and recording vital signs on clinically stable clients are standard, repetitive procedures with predictable outcomes. These activities do not require clinical nursing judgment and safely fall within the scope of practice for an unlicensed assistive personnel (UAP).

Step-by-Step Solution

1
Recall the legal scope of practice for an unlicensed assistive personnel (UAP).
UAPs are permitted to perform routine, standard tasks for stable clients, including activities of daily living (ADLs), basic vital signs, and measuring intake and output.
Establishing the baseline rules of delegation is necessary to determine task appropriateness.
2
Identify activities that strictly belong to the registered nurse's scope of practice.
The registered nurse cannot delegate tasks involving evaluation, assessment, teaching, or nursing judgment.
This helps filter out distractors that contain keywords like 'evaluating' or 'instructing'.
3
Evaluate each option against the identified rules of delegation.
Emptying drainage bags, bathing, and taking vital signs on stable clients are acceptable. Evaluating pain and instructing clients must be eliminated.
Applying the rules to the specific scenarios ensures a safe assignment.

Key Concept

Delegation to Unlicensed Assistive Personnel (UAP)
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Topics

Assignment, Delegation and Supervision

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