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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)?

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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 Performing the admission assessment
  4. D Administering IV medications

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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About this topic: Delegation and Assignment

Delegation and assignment questions cover the five rights of delegation, what can be delegated to LPNs and assistive personnel, what cannot, and how to supervise and evaluate delegated care. This is one of 8 RN: Safe and Effective Care Environment questions on delegation and assignment, each with a full explanation on a single study page.

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