A nurse is caring for a group of clients. Which of the following clients should the nurse assign to an assistive personnel?
Explanation & Rationale
A. A client who has chronic obstructive pulmonary disease and needs guidance on incentive spirometry: Teaching and guiding a client on incentive spirometry is a nursing intervention that requires assessment, education, and evaluation. It cannot be delegated to assistive personnel. B. A client who had a myocardial infarction 3 days ago and reports chest discomfort: Chest discomfort in a post-MI client is a high-priority, potentially life-threatening issue. Only a licensed nurse can assess, intervene, and notify the provider, so this task is not appropriate for delegation. C. A client who had a stroke 2 days ago and needs help toileting: Assisting a client with toileting is a basic activity of daily living and falls within the scope of practice for assistive personnel. The nurse can delegate this task safely. D. A client who has awoken following a bronchoscopy and requests a drink: Post-procedure assessment and evaluating readiness for oral intake requires nursing judgment to ensure airway safety. This cannot be delegated to assistive personnel.