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Which delegation task should a nurse intervene?

The AP is instructed to bathe the client who is on telemetry

The AP is requested to obtain vital signs for stable clients

The AP is asked to assist with a portable chest x-ray

The AP is told to feed a client who is dysphagic

The correct choice highlights a critical aspect of patient safety and care standards. Feeding a client who is dysphagic requires specialized training and careful assessment to prevent complications such as aspiration, which can lead to severe respiratory issues and further complications. Dysphagia indicates difficulty swallowing, and managing this condition often involves specific protocols, including appropriate food textures and monitoring during the feeding process.

Delegating this task to an untrained individual, such as an assistant, could result in inadequate attention to the necessary precautions. It is imperative for licensed nurses to handle such high-risk activities that require clinical judgment and the ability to respond to potential emergencies.

In contrast, the other tasks involve responsibilities that are within the scope of practice for an assistive personnel (AP) and do not present immediate risks. Bathing a client who is on telemetry can be safely performed by an AP, as long as monitoring is in place. Obtaining vital signs for stable clients is a routine task that APs are typically trained to perform. Assisting with a portable chest x-ray involves support skills that the AP can provide, under the supervision of a nurse, ensuring patient safety while following established protocols.

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