The nurse is caring for a client who has a history of experiencing delusions. The client describes singing in a concert in the afternoon for thousands of people. Which action should the nurse take?

A. Administering PRN oral analgesics can be managed by both RNs and PNs, as this task does not require advanced assessment or decision-making.

B. Transporting a client who is receiving IV fluids can be safely done by UAPs with appropriate supervision.

C. The RN is responsible for the supervision of other nursing staff and the orientation of new hires. Evaluating the competency of a graduate nurse during a complex task like an admission assessment cannot be delegated to a PN or UAP. An "admission assessment" is the initial comprehensive evaluation of a client. In most nursing jurisdictions, the initial assessment and the development of the nursing care plan are strictly the responsibility of the RN.

D. While the RN is responsible for the overall care plan of a restrained client, ongoing focused assessments (such as checking circulation, skin integrity, and pulse) for a client in restraints can often be delegated to a PN once the initial assessment and necessity for the restraint have been established by the RN.

A. The adult nurse practitioner may be involved in direct patient care but is not typically responsible for coordinating the overall progression of care.

B. The neurology unit supervisor might oversee the neurology-related aspects but not the overall case management.

C. The risk management nurse deals with issues related to patient safety and quality but does not usually coordinate patient care.

D. The nurse case manager is specifically responsible for coordinating the progression of care, including planning, implementing, and evaluating the overall treatment plan.