Safe, Effective Care Environment
27. Which activities could an RN delegate to a certified nursing assistant (CNA)?
Select all that apply.
Safe, Effective Care Environment
27. Which activities could an RN delegate to a certified nursing assistant (CNA)?
Select all that apply.
. Taking routine vital signs.
. NG tube irrigation for a client who is postoperative.
. Feeding a client for the first time who had a stroke.
. Colostomy irrigation for a client who is comatose.
. Walking with a client who has aphasia.
. Shaving a client with a tracheostomy.
Test-Taking Tip
Only the RN can assess the condition and evaluate the response of clients who are unstable.
Content Area: Management of Care, Delegation; Integrated Process: Nursing Process, Analysis; Cognitive Level: Analysis; Client Need/Subneed: Safe and Effective Care Environment/Management of Care/Delegation
Safe, Effective Care Environment
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Answer 1 is correct because the activity is technical, and there is no potential for harm to the client. The RN would need to evaluate the findings. Answer 2 is incorrect because the need for a nasogastric (NG) tube may indicate that the client is not stable. The outcome is not predictable from client to client. Answer 3 is incorrect because the RN needs to assess the client's ability to swallow, to prevent aspiration of food. Answer 4 is incorrect because the procedure requires assessment and judgment regarding how much to instill to irrigate and evaluation of the results. Answer 5 is correct because it is routine and not complex. The client's condition is not life threatening. Answer 6 is incorrect because special precautions are needed to ensure that hair particles do not enter the tracheostomy. This procedure requires assessment, which needs to be done by a licensed staff member.