A nurse is delegating care for a client who has right-sided weakness following a cerebrovascular accident. The client coughs when eating and voice becomes hoarse after swallowing. Select the four tasks the nurse should assign to an assistive personnel.

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.

Choice A reason: While it's essential to use a fire extinguisher during a fire emergency, aiming at the top of the flames is not the correct technique. Fire extinguishers should be aimed at the base of the flames to cut off the oxygen supply and extinguish the fire effectively.

Choice B reason: During a fire, moving client care equipment into the hallway is not recommended. In an emergency, the priority is to ensure the safety of patients and staff. Moving equipment might obstruct evacuation routes or delay the evacuation process.

Choice C reason: This choice is incorrect. Placing dry towels at the base of doors is not a recommended action during a fire. It does not effectively prevent smoke or fire from spreading. Instead, use proper fire-rated door seals or close the doors securely to prevent smoke and flames from entering rooms.

Choice D reason: Closing the windows in client rooms is a correct action during a fire. Closed windows help prevent the entry of smoke and flames, reducing the risk to patients and staff. It also helps maintain a safe environment within the room.