Which task could a staff nurse delegate to a certified nursing assistant (CNA)?
a. Evaluating a patient's response to pain
b. Making rounds with a physician
c. Feeding a stroke patient who has minimal dysphagia
d. Assessing a patient's central venous line site
C
Feeding a stroke patient who has minimal dysphagia is an appropriate delegation of a nursing intervention to a CNA. The majority of state boards have addressed the issue of delegation and have developed rules that offer specific guidelines regarding who can do what. The scope of practice for each level of care provider usually includes a description of the tasks that may be performed at that level. The nurse cannot delegate the task of assessing the patient or making rounds with the physician to the CNA. Nursing interventions such as assessment and evaluation of pain, management of central line sites, or performing tracheotomy or colostomy care are within the scope of professional nursing, as is making rounds with a physician.
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