Which task is most appropriate for a nurse to delegate to unlicensed assistive personnel?

Delegating tasks to unlicensed assistive personnel (UAP) requires an understanding of what responsibilities they are trained and authorized to perform. Taking vital signs, including blood pressure, is typically within the scope of practice for UAP, as it does not require any critical thinking or clinical judgment. It also allows the nurse to focus on tasks that require higher levels of assessment and decision-making.

In contrast, emptying a portable wound drainage device involves understanding the wound's status and may require assessment skills that UAP do not possess. Instructing a client on using an incentive spirometer requires educational skills and patient assessment to ensure proper technique, which is best handled by a licensed nurse. Monitoring the rate of infusion of intravenous fluids requires ongoing assessment and clinical judgment to respond effectively to any complications, making it unsuitable for delegation to UAP. By recognizing the appropriate scope of practice for UAP, the nurse can effectively delegate tasks that ensure client safety and quality care.