Nursing Prioritization Delegation Assignment Q 83
A 7-year-old girl who has just endured allogeneic stem cell transplantation will need protective environmental stimulation. Which nursing task should the nurse delegate to the nursing assistant? Select all that apply.
A. Educating the client to perform careful handwashing after using the bathroom.
B. Communicating with the family members about the grounds for isolation.
C. Stock the client's room with the required PPE items.
D. Reminding the visitors to wear a face mask, gloves, and gown.
E. Posting the precautions for protective isolation on the door of the client's room
Correct Answer: C, D, and E
The nursing assistant is capable of stocking the room and posting the precautions on the client’s door because all staff who care for clients should be familiar with the various types of isolation. Reminding visitors about previously taught information is a task of the nursing assistant although the RN is responsible for the initial teaching.
Option A: Education is a complex action that should be carried out by an RN. If a CNA does something that is not in their scope of work, the hospital is within their rights to dismiss them or at least issue them with a warning.
Option B: Client discussion of the reason for the protective isolation falls within the RN-level-scope of practice. The scope of practice for a CNA includes tasks such as basic daily patient care including doing all of the things for the patient that they cannot do themselves. These tasks are classified as ADLs or activities of daily living and are called this because they need to be done daily.
Option C: A CNA is allowed to stock the patient’s room with necessary equipment. In hospitals, certified nursing assistants are more likely to help a diverse patient population with a wide range of needs. Their patients could be young or old, and likely recovering from illness or surgery.
Option D: Depending on daily needs, this can involve changing soiled sheets, cleaning up spills, changing bedpans, setting up equipment, and reducing the spread of germs and infection in the patient’s living area.
Option E: CNAs are primarily responsible for helping patients with ADLs, such as bathing, grooming, toileting, eating, and moving. CNAs often measure a patient’s blood pressure, pulse, and temperature, and then record their findings and report them to a supervisor to determine whether action is necessary.