Level: Advanced
Difficulty: Hard
Subtopic: Delegation rules
NCLEX: Which task is appropriate to delegate to UAP for a stable postoperative client on day 2?
Ethics, legal nursing, delegation, prioritization Management of Care
Case Study
Which task is appropriate to delegate to UAP for a stable postoperative client on day 2?
Question
A. Ambulation with a gait belt after the RN assesses stability and gives clear instructions.
B. Initial admission assessment and priority setting for the shift.
C. Teaching insulin self-administration before discharge.
D. Deciding whether chest pain requires a change in the plan of care.
B. Initial admission assessment and priority setting for the shift.
C. Teaching insulin self-administration before discharge.
D. Deciding whether chest pain requires a change in the plan of care.
Rationale
Correct answer: A. Ambulation with a gait belt after the RN assesses stability and gives clear instructions.
Rationale: NCSBN delegation guidelines: stable client, right task, clear directions, supervision. Assessment, teaching, and nursing judgment cannot be delegated.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.
Rationale: NCSBN delegation guidelines: stable client, right task, clear directions, supervision. Assessment, teaching, and nursing judgment cannot be delegated.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.