With appropriate instruction, which tasks are appropriate to delegate to an unlicensed assistive personnel (UAP)? Select all that apply.
Explanation & Rationale
A. Evaluating fluid balance status: Evaluation involves clinical judgment, interpretation of intake/output trends, laboratory values, and patient condition. This level of assessment falls within the nurse’s scope of practice and cannot be delegated to UAP, who are not trained to analyze or make clinical decisions. B. Assisting with client ambulation: Assisting with ambulation is an appropriate task for UAP when the patient is stable and proper instructions are provided. It supports mobility, prevents complications such as deep vein thrombosis, and does not require independent clinical judgment, making it safe for delegation. C. Determining need for assistive devices: Deciding whether a patient requires assistive devices such as walkers or canes requires assessment of strength, balance, and safety risks. This involves nursing judgment and cannot be delegated, as incorrect decisions could increase the risk of falls or injury. D. Measurement of intake and output: Collecting and recording intake and output data is within the scope of UAP responsibilities. While UAP can measure and document these values, interpretation of the data and clinical decision-making based on the findings remain the responsibility of the nurse.