The practical nurse (PN) is working with the registered nurse (RN) and unlicensed assistive personnel (UAP) to care for four clients on a medical-surgical unit. Which client's care can the PN assign to the UAP?

A. An older adult with Alzheimer's who often wanders out of the room: The UAP can safely monitor and assist this client with ambulation, ensuring safety and preventing falls. Tasks like observation and redirecting the client are within the UAP’s scope of practice under supervision. B. An adult postoperative client who is ready for discharge instructions: Discharge teaching involves providing education, assessing understanding, and reinforcing care plans, which are nursing responsibilities and cannot be delegated to a UAP. C. An adolescent recently admitted with a suspected ruptured appendix: This client requires ongoing assessment, monitoring for signs of acute deterioration, and communication of findings to the RN, which are beyond the UAP’s scope. D. An adult who is receiving blood and requires every 30 minute vital signs: Blood transfusion monitoring is a high-risk intervention requiring assessment skills, recognition of adverse reactions, and immediate nursing intervention, so it cannot be delegated to the UAP.