An RN is assigning routine care for stable clients on a medical-surgical unit. For each group, select all tasks appropriate to delegate to trained unlicensed assistive personnel (UAP).

UAP may perform predictable routine tasks for stable clients, such as ambulation after RN assessment, intake and output measurement, bathing assistance, and collection of a routine specimen. The RN retains assessment, evaluation, clinical judgment, and teaching. New chest pain requires RN assessment, effectiveness of analgesia must be evaluated by the nurse, insulin self-administration teaching cannot be delegated, and restraint decisions require nursing judgment.

Use only the findings, timing, and orders stated in the scenario.

Apply the requested nursing decision to this client rather than relying on a broad disease label.

The remaining responses are contradicted by the scenario, mistimed, outside scope, or unsafe.

Address immediate threats first and reassess after intervention.

Choose only actions supported at this exact point in care.

• delegation — delegation is a key clinical concept for assessing and managing delegation and assignment safety.
• unlicensed assistive personnel — unlicensed assistive personnel is a key clinical concept for assessing and managing delegation and assignment safety.
• nursing judgment — nursing judgment is a key clinical concept for assessing and managing delegation and assignment safety.