Which four of the patient orders can be delegated to the nursing aide? Select all four that apply.

Choice A reason: Monitoring for signs of dehydration is crucial because Mr. Carter's symptoms of nausea and vomiting can lead to fluid loss. Ensuring adequate hydration is essential for maintaining overall health and supporting liver function.
Choice B reason: Providing education about proper hand hygiene is important to prevent the transmission of hepatitis A, especially since Mr. Carter recently traveled to an area where he may have been exposed to the virus. Proper hand hygiene can help reduce the risk of spreading the infection to others.
Choice C reason: Encouraging a high-protein dietary intake is not appropriate in this case. While protein is important for liver repair, Mr. Carter's liver function is compromised, and a high-protein diet may increase the liver's workload. Instead, a balanced diet with adequate calories and nutrients is recommended.
Choice D reason: Administering intravenous antibiotics is not indicated for hepatitis A, as it is a viral infection and not bacterial. Antibiotics would not be effective in treating this condition.
Choice E reason: Advising rest and limiting physical activity is important to support recovery. Mr. Carter's symptoms of fatigue and jaundice indicate that his body needs time to heal. Resting helps conserve energy and allows the liver to recover.
Choice F reason: Educating the patient about the need for lifelong hepatitis A vaccination is crucial. Although hepatitis A does not typically cause chronic infection, vaccination can prevent future infections and protect against the virus.

Choice A reason: Insert indwelling urinary catheter. This task requires clinical judgment, sterile technique, and expertise. It is an invasive procedure that should be performed by a registered nurse or a physician.
Choice B reason: Monitor IV D5 1/2 NS with 20 mEq KCl at 75 m/hr. Monitoring IV fluids and medications involves assessing the patient’s response to treatment, recognizing potential complications, and making clinical decisions. This task requires the expertise of a registered nurse.
Choice C reason: Empty urinary catheter and measure the output. This task can be delegated to a nursing aide as it involves routine measurement and documentation, which does not require clinical judgment. It is a simple procedure that can be safely performed by a trained aide.
Choice D reason: Collect a stool sample for occult blood testing. This is a straightforward task that can be delegated to a nursing aide. It involves collecting and labeling the sample correctly, which does not require advanced clinical skills or judgment.
Choice E reason: Daily weights. This task can be safely delegated to a nursing aide. It involves measuring and recording the patient’s weight, which is a routine procedure and does not require clinical judgment.
Choice F reason: Notify the MD of any signs of bleeding. This task involves assessing the patient for signs of bleeding, which requires clinical judgment and should be performed by a registered nurse. The nurse must determine the significance of the findings and communicate them appropriately to the physician.
Choice G reason: Vital signs every 4 hours. Monitoring vital signs is a routine task that can be delegated to a nursing aide. It involves measuring and recording the patient’s blood pressure, heart rate, respiratory rate, and temperature, which does not require advanced clinical skills.