The nurse and nursing assistive personnel (NAP) are caring for a group of patients on the medical-surgical floor. For which of the following patients can the nurse delegate to the NAP the task of bathing? Select all that apply
a. 75-year-old patient newly admitted with dehydration
b. 65-year-old patient hospitalized for a stroke, whose blood pressure reading is 189/90 mm Hg
c. 92-year-old patient with stable vital signs who was admitted with a urinary tract infection
d. 56-year-old patient with chronic renal failure who has vital signs within his normal range
A, C, D
The nurse should not delegate bathing of a client newly diagnosed with a stroke whose blood pressure is unstable or otherwise abnormal. This client requires the keen assessment and critical thinking skills of a registered nurse. The nurse can safely delegate the care of stable clients, such as the client admitted with dehydration, the client admitted with a urinary tract infection, or the client with chronic renal failure. Any client who is very ill or who requires complex decision making should be cared for by a registered nurse.
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