Which scenario is an example of correct delegation?
1. The nurse asks the unlicensed assistant to bathe a patient before surgery.
2. The nurse asks the unlicensed assistant if a patient tolerated ambulating in the hall.
3. The nurse instructs the unlicensed assistant to check the patient's lung sounds for crackles.
4. The nurse asks the unlicensed assistant to see if the patient's hourly urine output is adequate.
1
Rationale 1: Provision of hygienic care is a common role of unlicensed assistants and can be delegated.
Rationale 2: The unlicensed assistant cannot evaluate the outcome of an intervention. The assistant can only give the nurse facts about the patient's response, and the nurse determines if the patient tolerated the intervention.
Rationale 3: The unlicensed assistant cannot perform nursing assessment.
Rationale 4: The unlicensed assistant cannot make this evaluation. The nurse should ask for the amount of output and make the evaluation, or ask the assistant to see if the output is above a specific amount.
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