The nurse is planning care for a group of patients. Which task will the nurse assign to the nursing assistive personnel?

Choice A reason: Kinking catheter tubing to obtain a sterile urine specimen is outside the nursing assistive personnel (NAP) scope. This task requires sterile technique and clinical judgment to ensure sample integrity and prevent infection. It’s reserved for licensed nurses due to risks of contamination or catheter damage, which could lead to inaccurate diagnostics or patient harm. Choice B reason: Emptying a colostomy drainage bag when 3/4 full is appropriate for NAP. This routine task involves measuring output and maintaining hygiene, aligning with NAP’s role in assisting with daily living activities and basic patient care under nurse supervision, ensuring patient comfort and preventing bag leakage or skin irritation. Choice C reason: Assessing Foley catheter placement and securing tubing requires clinical judgment and specialized training. These tasks involve evaluating catheter function and preventing complications like dislodgement or infection, which are responsibilities of licensed nurses, not NAP, due to the need for professional expertise to ensure patient safety and catheter efficacy. Choice D reason: Placing the catheter bag on the bed frame is inappropriate for NAP as it risks infection and catheter dysfunction. The bag must remain below bladder level to prevent urine backflow, a principle requiring nurse oversight, not NAP delegation, to avoid complications like urinary tract infections or bladder trauma.