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    Select All That Apply

    A nurse is caring for a group of clients. Which of the following tasks should the nurse delegate to an assistive personnel? (Select all that apply.)

    Explanation & Rationale

    A. Changing a dressing for a client who has a stage 3 pressure injury: Dressing changes for complex wounds require assessment of the wound, evaluation for signs of infection, and clinical judgment to select appropriate interventions. These responsibilities fall within the nurse’s scope of practice and should not be delegated to assistive personnel. B. Obtaining a signed consent from a client for a screening colonoscopy: Obtaining informed consent involves explaining the procedure, risks, benefits, and answering client questions, which requires nursing knowledge and legal responsibility. This task cannot be delegated to assistive personnel. C. Measuring I&O for a client who is receiving parenteral nutrition: Monitoring and documenting intake and output for a client receiving parenteral nutrition involves critical interpretation of fluid balance, which may affect electrolyte management and therapy adjustments. This task requires nursing judgment and is not appropriate for delegation. D. Providing postmortem care for a client who experienced cardiac arrest: Postmortem care is a routine, noninvasive task that does not require nursing judgment. Assistive personnel can perform this task, including cleaning and positioning the body and preparing the client for the family, making it appropriate for delegation. E. Transferring a client from a bed to a chair with a mechanical lift: Assisting with safe client mobility using a mechanical lift is within the scope of an assistive personnel’s role. This task does not require clinical decision-making but ensures safety and proper technique, making it suitable for delegation.

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