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Difficulty: EasyAssignment, Delegation and Supervision

While organizing the morning workflow on a general medical unit, the nurse considers which tasks can be safely assigned to the unlicensed assistive personnel (UAP). Which task is appropriate for the nurse to delegate to the UAP?

  1. Assisting a client who is two days post-appendectomy with ambulation in the hallway.Answer
  2. B
    Instructing a client with newly diagnosed diabetes on how to use a glucometer.
  3. C
    Assessing a client's lung sounds after the administration of an albuterol nebulizer.
  4. D
    Determining if a client's reported pain requires an as-needed (PRN) analgesic.

Answer

Assisting a client who is two days post-appendectomy with ambulation in the hallway.
The correct answer involves a routine, standard task for a clinically stable client. Assisting a client with ambulation two days after a simple appendectomy is a predictable intervention that falls entirely within the UAP's scope of practice. It does not require independent nursing judgment, physiological assessment, or patient education.

Step-by-Step Solution

1
Identify the scope of practice for Unlicensed Assistive Personnel (UAP).
UAPs are permitted to perform routine, standard care tasks for stable clients.
The National Council of State Boards of Nursing (NCSBN) strictly dictates delegation parameters for safe patient care.
2
Evaluate each option against the 'EAT' acronym (Do not delegate Evaluation, Assessment, or Teaching).
Three options involve patient teaching, physiological assessment, or clinical judgment.
These actions require the specialized knowledge and application of the nursing process, which cannot be delegated to unlicensed personnel.
3
Select the task that falls within the UAP's allowed duties.
Ambulation of a stable, postoperative client is selected.
It is a standard, predictable procedure that does not require independent nursing judgment.

Key Concept

Delegation to Unlicensed Assistive Personnel (UAP)
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Topics

Assignment, Delegation and Supervision

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