Which task can the RN delegate to the UAP for a client in skeletal traction?

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Delegating tasks to a Unlicensed Assistive Personnel (UAP) involves ensuring that the activities are appropriate for their training and scope of practice. Assisting with active and passive range of motion exercises falls within the established responsibilities of a UAP. Such exercises help maintain or improve mobility in clients with restrictions, such as those in skeletal traction, and do not require the clinical judgment or advanced assessment skills that a registered nurse (RN) possesses.

Active and passive range of motion exercises can be safely monitored and facilitated by UAPs under the guidance of an RN, enabling the UAP to contribute effectively to the patient's care plan.

In contrast, tasks such as checking the color and temperature of an affected extremity, applying a collagenase dressing to a pressure ulcer, or assessing for deep venous thrombosis require clinical judgment, assessment skills, and a deeper understanding of potential complications, which are beyond the scope of UAP duties. These activities must be performed by a licensed nurse to ensure patient safety and appropriate evaluation of the client’s condition.

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