The nurse plans a fall prevention program for a confused client. Which task from the fall prevention program is suitable for the nurse to delegate to unlicensed assistive personnel (UAP)?
1. Evaluating client understanding of fall prevention plan
2. Keeping the client's bed in the low position at all times
3. Assessing the client's circulatory and respiratory status
4. Instructing client's family about alternatives to restraints
2
2. The nurse delegates bed lowering to the UAP because the UAP is educated and trained to perform the task with proper nursing supervision. The nurse does not delegate the remaining options because they involve aspects of the nursing process.
1. Evaluating teaching involves assessing the amount of information the learner comprehends and is a task the nurse cannot delegate to the nursing assistant because it requires nursing judgment.
3. The nurse assesses the client's circulatory and respiratory status because assessment is a part of the nursing process and each nurse is responsible to perform individual assessments.
4. The client and family teaching is an important aspect of nursing care and is unsuitable for delegation to the UAP.
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