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Multiple Choice

In a healthcare setting, which task is most appropriate to delegate to an unlicensed assistive personnel (UAP)?

In delegation, tasks given to unlicensed assistive personnel should be routine, clearly defined actions that do not require nursing assessment or professional judgment. Providing the diabetic client’s diet tray fits this: it supports nutrition and meal delivery according to the prescribed diet without needing to assess the patient, teach, or perform specialized care. The tray is delivered, items are checked for appropriateness, and any issues (like tray refusal or missing items) are reported to the nurse. The other tasks require nursing expertise: teaching perineal care involves assessing learning needs and ensuring the technique is done correctly; changing a colostomy bag involves evaluating skin around the stoma, ensuring a proper fit, and often requires sterile technique; taking the initial vital signs on a patient about to receive blood involves monitoring for transfusion reactions and hemodynamic status, which needs professional assessment and judgment.

In delegation, tasks given to unlicensed assistive personnel should be routine, clearly defined actions that do not require nursing assessment or professional judgment. Providing the diabetic client’s diet tray fits this: it supports nutrition and meal delivery according to the prescribed diet without needing to assess the patient, teach, or perform specialized care. The tray is delivered, items are checked for appropriateness, and any issues (like tray refusal or missing items) are reported to the nurse.

The other tasks require nursing expertise: teaching perineal care involves assessing learning needs and ensuring the technique is done correctly; changing a colostomy bag involves evaluating skin around the stoma, ensuring a proper fit, and often requires sterile technique; taking the initial vital signs on a patient about to receive blood involves monitoring for transfusion reactions and hemodynamic status, which needs professional assessment and judgment.