A nurse and an assistive personnel (AP) are assigned a group of clients on the unit. Which of the following clients should the nurse instruct the AP to report to the nurse?
Explanation & Rationale
Rationale: A. A client who has a prescription for compression stockings and did not receive them: Compression stockings are used to prevent deep vein thrombosis and other complications. If the client has not received them, this is a safety concern that requires immediate nursing attention. The AP should report this so the nurse can ensure the prescription is implemented. B. A client who consumes all the food from their meal tray: Eating the entire meal indicates adequate oral intake and nutrition. While this is positive information, it does not require immediate reporting to the nurse. C. A client who requests to sit in the bedside chair while watching TV: This is a routine activity of daily living that the AP can assist with as appropriate. It does not indicate a change in condition or a safety concern that must be reported. D. A client who requests assistance to use the bedside commode: The AP can safely assist with toileting and does not need to report this unless there is a change in the client’s condition or an incident occurs. This is within the scope of AP duties.