Of the following activities and skills, what can the nurse safely delegate to the unlicensed assistive personnel?
1. Provide oral fluids to a newly extubated client.
2. Irrigate the indwelling urinary catheter of a client recovering from prostate surgery.
3. Apply a wrist restraint to a client.
4. Administer oral pain medication to a client before attending physical therapy.
Correct Answer: 3
Rationale 1: Providing oral fluid to a newly extubated client should be done first by the nurse, so the client can be assessed for ability to safely swallow.
Rationale 2: Irrigating an indwelling urinary catheter is beyond the scope for UAP.
Rationale 3: Application of ordered restraints and their temporary removal for skin monitoring and care may be delegated to UAP who have been trained in their use.
Rationale 4: Administering medication is beyond the scope for UAP.
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