Fidelity in nursing practice primarily refers to:

Choice A rationale
Reporting unusual lung sounds requires assessment skills that are beyond the scope of practice for an unlicensed assistive personnel (UAP). UAPs are not trained to interpret or evaluate clinical data, which is essential for identifying unusual lung sounds. This task should be performed by a licensed nurse who can accurately assess and respond to the findings.
Choice B rationale
Providing assistance with morning care is within the scope of practice for UAPs. This task involves helping the patient with activities of daily living such as bathing, dressing, and grooming, which do not require clinical judgment or assessment skills. It is a routine task that UAPs are trained to perform safely and effectively.
Choice C rationale
Teaching the patient about a heart-healthy diet involves providing education and requires a thorough understanding of the patient’s medical condition and dietary needs. This task should be performed by a licensed nurse or dietitian who has the knowledge and skills to provide accurate and comprehensive education.
Choice D rationale
Checking the client’s blood pressure medication involves administering medication, which is outside the scope of practice for UAPs. Medication administration requires knowledge of pharmacology, the ability to assess the patient’s response to the medication, and the ability to recognize and respond to potential side effects. This task should be performed by a licensed nurse.

Choice A rationale
Providing the instructions in an audio format is a suitable solution for clients who are unable to read. It ensures they can understand and follow the medication instructions accurately.
Choice B rationale
Ensuring the client has someone to assist with reading the instructions is helpful but not always reliable. The client may not always have someone available to assist them.
Choice C rationale
Using larger print for the instructions can help, but it may not be sufficient for clients with severe visual impairments.
Choice D rationale
Teaching the client to use a magnifying glass is a practical solution, but it may not be as effective as providing audio instructions, especially if the client has difficulty using the magnifying glass.