A nurse is contributing to the plan of care for a 12-month-old infant following cleft palate repair. Which of the following actions should the nurse include?

A. Verifying the identity of anyone who wants to remove the baby from the room is crucial for ensuring the security and safety of the newborn. This helps prevent unauthorized individuals from taking the baby without proper authorization from the parents or healthcare staff.
B. Leaving the baby unattended in the room while the parent walks in the hallway can pose a safety risk, as the newborn should always be under supervision to prevent accidents or unauthorized access.
C. Newborns typically wear identification bands on both wrists to ensure accurate identification and prevent mix-ups in the hospital setting. Placing identification bands on other body parts may lead to confusion.
D. Leaving the unit with the baby without notifying the nurse can compromise the security measures in place and may lead to confusion or concern among hospital staff regarding the whereabouts of the newborn. It's important to communicate with healthcare providers before leaving the unit with the baby.

A. Changing the dressing on a client's IV site: This is a sterile procedure and requires the nurse’s clinical expertise. It cannot be delegated to assistive personnel (AP).

B. Suctioning a client's new tracheostomy: Suctioning a tracheostomy, especially a new one, is a sterile procedure requiring clinical judgment and skill, which is beyond the scope of assistive personnel.

C. Evaluating a client's risk for developing pressure injuries: This is an assessment task that requires clinical judgment and critical thinking. It falls under the nurse’s scope of practice and should not be delegated to AP.

D. Administering a large-volume enema to a client: Assisting with or administering an enema is a task that can be delegated to assistive personnel, as it is within their scope of practice, provided the client is stable and the procedure does not require complex judgment.