A charge nurse in a long-term care unit is planning care for a group of clients. Which of the following care tasks should the nurse plan to delegate to an assistive personnel?

A. Evaluating the effectiveness of acetaminophen administered 30 min ago to a client who reported a headache: Assessing medication effectiveness requires professional judgment to evaluate pain relief, side effects, and changes in condition. This is within the registered nurse’s scope of practice and cannot be delegated to an assistive personnel (AP). B. Discussing upcoming dietary changes with a client who has a new prescription for a low-cholesterol diet: Teaching about diet involves interpretation, assessment of understanding, and individualized instruction, which are nursing responsibilities. APs cannot provide education about new prescriptions or therapeutic diets. C. Measuring urine output every 2 hr for a client recently diagnosed with a urinary tract infection: Measuring and recording urine output is a routine, stable, and predictable task that does not require professional judgment. APs are qualified to perform this task under supervision, making it appropriate for delegation. D. Inserting a temporary nasogastric tube for a client who has a prescription for laboratory analysis of stomach contents: Nasogastric tube insertion is an invasive procedure requiring skill, assessment, and clinical judgment. It falls within the registered nurse’s scope of practice and cannot be delegated to an AP.