Which client should the charge nurse on the oncology unit assign to a registered nurse (RN), rather than a practical nurse (PN)?

A. A young adult client who is experiencing fatigue while undergoing a series of external beam radiation treatments for stage I cancer: Fatigue management and routine monitoring during radiation can be handled by a PN under the supervision of an RN because it involves predictable outcomes and supportive care. B. A middle-aged male client who has just undergone an excisional biopsy and has been told that his tumor appears to be benign: Post-biopsy care with benign findings typically involves observation and wound care, tasks that fall within the scope of practice of a PN. C. An older adult female client with cancer whose children who are trying to decide whether to change to palliative care measures or continue disease control: Complex discussions about prognosis, care goals, and end-of-life decisions require critical thinking, advanced communication skills, and nursing judgment, which are responsibilities appropriate for an RN. D. An adult client in remission after a series of chemotherapy treatments who is receiving intramuscular iron injections for anemia: Administering IM injections and monitoring basic side effects can be performed by a PN with proper supervision, as this is a stable and expected part of supportive care.