A nurse is caring for several clients with small-bore feeding tubes and nasogastric (NG) tubes. Which of the following activities can the nurse delegate to the unlicensed assistive personnel?
a. Assessing placement of the nasoenteric feeding tube
b. Reattaching suction to a nasogastric tube after the client ambulates
c. Refilling the tube-feeding bag for a small-bore gastrostomy tube
d. Performing skin care at the exit site of a jejunostomy tube
D
Assessing placement of any tube is a nursing responsibility and is out of the scope of unlicensed assistive personnel (UAP). Reattaching suction after a client's NG tube has been disconnected requires verification of the pressure setting and cannot be delegated. Filling or refilling tube-feeding bags with formula is also a licensed nurse's responsibility. An unlicensed assistive personnel can perform skin care at the tube's exit site if the nurse delegates this procedure and verifies that the UAP is qualified to do it.
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