A nurse on the postpartum unit is caring for a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?
Explanation & Rationale
A. Observe an area of redness on the breast of a client who is 1 day postpartum. Assessment is outside the scope of practice for an AP. The nurse must assess the redness, as it could indicate mastitis or engorgement requiring further evaluation. B. Provide a sitz bath to a client who has a fourth-degree laceration and is 2 days postpartum. Assisting with hygiene and comfort measures, such as a sitz bath, is within the AP’s scope of practice. The nurse should ensure that the client understands proper perineal care and has no contraindications. C. Monitor vital signs during admission of a client who has gestational hypertension. Clients with gestational hypertension require close monitoring, and initial admission assessments, including vital signs, must be performed by the nurse to identify signs of preeclampsia or worsening hypertension. D. Change the initial perineal pad of a client who just transferred from labor and delivery. The first perineal pad change is an assessment opportunity for the nurse, allowing them to evaluate bleeding amount, presence of clots, and signs of postpartum hemorrhage. The nurse should perform the initial assessment and pad change before delegating routine hygiene tasks to the AP.