In caring for a client with fluid overload, which tasks are appropriate to delegate to the UAP?

When managing a client with fluid overload, delegating tasks to unlicensed assistive personnel (UAP) can be crucial for efficient care. Documenting vital signs and repositioning are suitable tasks for UAP because they involve routine care that does not require nursing judgment or clinical assessment skills.

Vital signs monitoring is a fundamental aspect of care that UAP are trained to perform and is essential for tracking the client's condition, particularly in cases of fluid overload where vital signs can show significant changes. Repositioning the client can alleviate pressure and improve comfort, which is also within the scope of practice for UAP. These tasks support the overall care plan without compromising client safety or requiring advanced clinical decision-making.

On the other hand, tasks that involve adjusting medications, conducting comprehensive assessments, or performing intravenous therapy require a higher level of training and clinical knowledge, making them inappropriate for delegation to UAP. These activities involve critical thinking, assessment skills, and understanding of medication management and IV procedures, which are beyond the capabilities of unlicensed staff.