A nurse is caring for a client who is having difficulty walking following a stroke. For which of the following members of the interprofessional team should the nurse request a referral?

Choice A reason: Collecting the client's urine output every 24 hours is a task that the nurse can delegate to an AP. This task is within the AP's scope of practice and does not require clinical judgment or assessment. The nurse should provide clear instructions and expectations to the AP, and monitor and evaluate the client's fluid status and renal function.

Choice B reason: Administering the client's scheduled antitubercular medications is a task that the nurse cannot delegate to an AP. This task is outside the AP's scope of practice and requires clinical judgment and assessment. The nurse should follow the five rights of medication administration and monitor the client for adverse effects and therapeutic outcomes.

Choice C reason: Assisting the client with speech therapy exercises is a task that the nurse cannot delegate to an AP. This task is outside the AP's scope of practice and requires specialized knowledge and skills. The nurse should collaborate with the speech therapist and follow the prescribed plan of care for the client.

Choice D reason: Placing the client on airborne precautions is a task that the nurse cannot delegate to an AP. This task is outside the AP's scope of practice and requires clinical judgment and assessment. The nurse should implement the infection control measures and educate the client and the AP about the rationale and the procedures.

Choice A reason: Purchasing primary tubing for IV therapy is not a cost-effective client care task, as it involves spending money on supplies that may not be necessary or appropriate for every client. The nurse should recommend using secondary tubing or changing the primary tubing according to the facility's policy and the client's condition.

Choice B reason: Implementing a fall prevention program is a cost-effective client care task, as it can prevent injuries, complications, and lawsuits that can result from client falls. The nurse should recommend using evidence-based strategies, such as assessing the client's fall risk, providing appropriate supervision and assistance, and using safety devices and alarms.

Choice C reason: Providing staff education on infection control is not a cost-effective client care task, as it involves investing time and resources on training that may not have a direct impact on the client's outcomes. The nurse should recommend following the standard precautions and the facility's protocol for infection prevention and control.

Choice D reason: Hiring a wound care specialist is not a cost-effective client care task, as it involves paying for an additional staff member who may not be needed or utilized for every client. The nurse should recommend providing wound care according to the provider's orders and the facility's guidelines, and consulting a wound care specialist only when necessary.