A nurse is caring for a client who has a tracheostomy tube. What actions may the nurse delegate to unlicensed assistive personnel (UAP)? (Select all that apply.)
a. Applying water-soluble lip balm to the client's lips
b. Ensuring the humidification provided is adequate
c. Performing oral care with alcohol-based mouthwash
d. Reminding the client to cough and deep breathe often
e. Suctioning excess secretions through the tracheostomy
ANS: A, D
The UAP can perform hygiene measures such as applying lip balm and reinforce teaching such as reminding the client to perform coughing and deep-breathing exercises. Oral care can be accomplished with normal saline, not products that dry the mouth. Ensuring the humidity is adequate and suctioning through the tracheostomy are nursing functions.
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