The nurse and the nursing assistive personnel (NAP) are caring for a group of postoperative patients who need turning, coughing, deep breathing, incentive spirometer, and leg exercises. Which task will the nurse assign to the NAP?
a. Teach postoperative exercises.
b. Do nothing associated with postoperative exercises.
c. Document in the medical record when exercises are completed.
d. Inform the nurse if the patient is unwilling to perform exercises.
ANS: D
The nurse can delegate to the NAP to encourage patients to practice postoperative exercises regularly after instruction and to inform the nurse if the patient is unwilling to perform these exercises. The skills of demonstrating and teaching postoperative exercises and documenting are not within the scope of practice for the nursing assistant. Doing nothing is not appropriate.
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