A nurse is planning care for a newly admitted adolescent client who has bacterial meningitis. Which of the following instructions is appropriate for the nurse to include in the plan of care?

A. Provide discharge instructions: Delivering discharge teaching requires nursing judgment, individualized education, and assessment of the client’s understanding. This task cannot be delegated to assistive personnel because it involves critical thinking and evaluation to ensure safe and effective patient self-care.

B. Perform chest compressions during cardiac resuscitation: Performing chest compressions is a technical skill that does not require nursing judgment and can be safely delegated to assistive personnel. During a code, APs can provide life-saving support under the direction of the RN or code team, making this task appropriate for delegation.

C. Perform a dressing change for a new amputee: Changing a surgical dressing, particularly for a new amputation, requires assessment of the wound, monitoring for signs of infection, and clinical judgment regarding complications. This task should remain the responsibility of the RN and is not suitable for delegation to an AP.

D. Assess effectiveness of antiemetic medication: Evaluating medication effectiveness involves clinical assessment and interpretation of patient response. This requires professional nursing judgment and cannot be delegated, as the RN must decide if additional interventions or medications are necessary.

A. Meat and dairy products are eaten at separate times: Observant Jews following kosher dietary laws do not consume meat and dairy together. There are specific waiting periods between eating meat and dairy, and separate utensils and preparation areas are often used to maintain this separation. This practice is a central feature of kosher dietary observance.

B. Shellfish is commonly consumed in the diet: Shellfish, including shrimp, crab, and lobster, are considered non-kosher and are prohibited in a kosher diet. Observant Jewish clients would avoid these foods entirely.

C. Leavened bread may be eaten during Passover: During Passover, leavened bread and products containing yeast (chametz) are prohibited. Only unleavened bread, such as matzah, is permitted during the holiday, making leavened bread inappropriate.

D. Fasting from meat occurs during Hanukkah: Hanukkah is a festival of lights celebrated with specific traditions, including lighting the menorah and eating oil-based foods. It does not involve fasting from meat or other specific food restrictions, unlike other religious observances such as Yom Kippur or Tisha B’Av.