Fundamentals Question #8

Question

Which task can be safely delegated to a nursing assistant?

Answers

  1. Wound dressing change
    • Rationale:

      This answer is not correct because skills that require assessment and clinical judgement cannot be delegated to a nursing assistant. A skill such as a wound dressing change is inappropriate to delegate to a nursing assistant. Applying denture paste to dentures can be safely delegated to a nursing assistant.

  2. IV flush
    • Rationale:

      This answer is not correct because skills that require assessment and clinical judgement cannot be delegated to a nursing assistant. A skill such as a wound dressing change is inappropriate to delegate to a nursing assistant. Applying denture paste to dentures can be safely delegated to a nursing assistant.

  3. Suctioning a client
    • Rationale:

      This answer is not correct because skills that require assessment and clinical judgement cannot be delegated to a nursing assistant. A skill such as suctioning a client is inappropriate to delegate to a nursing assistant. Applying denture paste to dentures can be safely delegated to a nursing assistant.

  4. Applying denture paste to dentures
    • Rationale:

      This answer is correct because applying denture paste to dentures can be safely delegated to a nursing assistant. When delegating tasks to the nursing assistant, the RN will consider delegating client tasks to stable clients needing only basic hygiene, ambulation, and general assistance. Skills that require assessment and clinical judgement cannot be delegated to a nursing assistant.

Overview

Applying denture paste to dentures can be safely delegated to a nursing assistant.

Explanation

Learning Outcomes

When delegating tasks to a nursing assistant, the RN must take into account the scope of practice, training, and competency of the individuals so safe, proper delegation can occur. When delegating tasks to the nursing assistant, the RN will consider delegating client tasks to stable clients needing only basic hygiene, ambulation, and general assistance. Skills that require assessment and clinical judgement cannot be delegated to a nursing assistant. Skills such wound dressing changes, IV flushes, or suctioning on clients are inappropriate to delegate to a nursing assistant. Applying denture paste to dentures can be safely delegated to a nursing assistant.

Test Taking Tip

The nursing assistant should only be assigned stable clients needing only basic hygiene, ambulation, and general assistance. Anything invasive or requiring higher thinking and skill should be considered for the LPN or RN, depending on the skill.

Video Rationale