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    Health assessment proctored exam( texas university)

    There is one client on a mechanical soft diet who needs help with food tray set-up. A second client received pain medication 30 minutes ago, is a fall risk, and requires ambulation assistance to the bathroom. Which task is priority for the Registered Nurse and which task could be delegated to the UAP?

    Explanation & Rationale

    A. The nurse should not delegate either task to the UAP and should ambulate the recently medicated client by themselves: While the nurse must retain accountability for high-risk activities, delegating low-risk tasks such as tray set-up to a UAP is safe. Avoiding delegation entirely is inefficient and not necessary if proper supervision and scope of practice are followed. B. The nurse should delegate both tasks to the UAP and ask that the UAP start with the recently medicated client: Ambulating a client who has received pain medication 30 minutes ago and is a fall risk requires nursing judgment and assessment of stability. This task is unsafe to delegate to a UAP and could result in falls or injury, making this inappropriate. C. The nurse should ambulate the recently medicated client and the UAP assist with tray set-up: Ambulating a high-risk client requires the nurse’s clinical judgment, timing, and direct intervention for safety. Assisting a client with a mechanical soft diet is a routine, low-risk task appropriate for a UAP. This prioritizes patient safety while effectively delegating suitable tasks. D. The nurse should assist with tray set-up and the UAP ambulate the recently medicated client: Delegating ambulation of a recently medicated, fall-risk client to a UAP is unsafe because it requires professional assessment of mobility and the potential effects of analgesics on balance and alertness. This compromises patient safety and is not within the UAP’s scope of practice.

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