A client with HIV is in the hospital with severe diarrhea. What actions does the nurse delegate to assistive personnel (AP)? Select all that apply.
Explanation & Rationale
Choice A rationale Monitoring the client's fluid and electrolyte status involves assessment, data interpretation, and critical thinking (e.g., reviewing lab results like potassium and sodium, assessing skin turgor, and monitoring urine output closely), which are complex skills and responsibilities reserved for the licensed nurse. Choice B rationale Assisting the client to get out of bed is a basic task of mobility and safety within the scope of practice for assistive personnel (AP). The nurse is responsible for assessing the client's weakness and determining the appropriate level of assistance required before delegating. Choice C rationale Obtaining a bedside commode is an appropriate task for AP. This involves gathering equipment and assisting with a supportive mobility device, which is a key component of providing comfort and safe elimination for a weak client with severe diarrhea. Choice D rationale Providing pericare after stooling is a fundamental task of hygiene and comfort that can be delegated to the AP. This action is particularly important for a client with diarrhea to prevent skin breakdown, reduce infection risk, and maintain comfort. Choice E rationale Teaching the importance of correct dietary intake involves educating the client about their condition and necessary lifestyle modifications, which is a teaching function and a responsibility that cannot be delegated to assistive personnel, requiring the licensed nurse's specialized knowledge.