NCLEX · Delegation and Assignment

According to the principles of delegation, which task is MOST appropriate for a registered nurse (RN) to delegate to unlicensed assistive personnel (UAP)?

Correct answer

Assisting a stable client with bathing and ambulation

  1. A Developing the nursing care plan
  2. B Assisting a stable client with bathing and ambulation
  3. C Administering IV medications
  4. D Performing the admission assessment

Why this is the answer

Appropriate tasks to delegate to UAP (unlicensed assistive personnel) are ROUTINE, STANDARDIZED tasks for STABLE clients with PREDICTABLE outcomes — such as assisting a stable client with BATHING, AMBULATION, feeding, vital signs, and hygiene (activities of daily living). NCLEX safe care/delegation. The RN CANNOT delegate the nursing process steps that require nursing judgment: ASSESSMENT, planning (care plans), evaluation, and teaching; nor can a UAP administer medications (especially IV) or care for unstable clients. The 'FIVE RIGHTS OF DELEGATION': right task, right circumstance, right person, right direction/communication, right supervision. Knowing what can and cannot be delegated is a heavily tested NCLEX management-of-care concept.
Source: NCLEX Safe Care — Delegation Principles

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