The RN charge nurse of a 24-bed medical unit is making shift assignments for 2 experienced registered nurses (RN), 1 graduate registered nurse, 1 practical nurse (PN), and 2 unlicensed assistive personnel (UAP). Which client should the nurse assign to the most experienced RN?

Choice A reason: A client with urosepsis being transferred to a skilled unit is stable enough for transfer. This assignment does not require the most experienced RN, as the client is not in acute distress. Choice B reason: A client with advanced cancer and a DNR order requires supportive care and emotional support, but this does not demand the highest level of clinical expertise compared to unstable cardiac conditions. Choice C reason: A client scheduled for laparoscopic cholecystectomy requires preoperative preparation, which can be managed by a graduate RN or PN under supervision. This does not require the most experienced RN. Choice D reason: A client admitted with angina and a history of coronary artery disease is at high risk for acute cardiac events such as myocardial infarction. This client requires close monitoring, advanced assessment skills, and rapid intervention if condition worsens. The most experienced RN is best suited to manage this client due to the complexity and potential instability.