A nurse is giving a report to their supervisor. Which of the following indicates a need for client care to be transferred to a registered nurse?

A. The client needs routine wound care performed: Routine wound care is a stable, predictable nursing task that can be delegated to a licensed practical nurse (LPN) or unlicensed assistive personnel (UAP) under supervision. It does not require the judgment of a registered nurse. B. The client develops a postoperative fever: A new postoperative fever indicates a potential complication such as infection or systemic response, requiring assessment, clinical judgment, and possible intervention by a registered nurse. This situation cannot be safely delegated and warrants RN evaluation. C. The client is experiencing a therapeutic effect from their treatment: Monitoring for expected therapeutic effects is routine and can be observed by LPNs or UAPs, with documentation reported to the RN. No immediate RN intervention is required. D. The client needs strict measurement of intake and output: Recording intake and output is a delegated, routine task that does not require independent RN decision-making. The RN oversees accuracy but direct care can be assigned to trained staff.