Which action best demonstrates adherence to patient safety when assigning tasks to a CNA?

• A. One-to-one client observation for safety
• B. Administering IV medications
• C. Performing sterile procedures unsupervised
• D. Handling medication reconciliation alone

Answer: (A)

The key idea is patient safety in delegating tasks to a CNA, focusing on ongoing supervision and rapid response to changes. One-to-one observation for safety provides continuous monitoring of the client, allowing immediate detection of evolving problems such as confusion, falls, respiratory or cardiovascular changes, or environmental hazards. This approach keeps the patient safe, supports timely escalation to a nurse when issues arise, and stays within the CNA’s role under appropriate supervision.

Other actions involve tasks that require higher-level licensure or training. Administering IV medications is not within a CNA scope and requires a licensed nurse. Performing sterile procedures unsupervised carries infection risk and also exceeds CNA responsibilities. Handling medication reconciliation alone is a nursing task that benefits from RN oversight to ensure accuracy and prevent errors.