While in a pediatric client's room, the nurse notes that the client is beginning to have a tonic-clonic seizure. Which task delegated by the registered nurse (RN) to the members of the health care team indicates active delegation?

A. Instructing the licensed practical nurse to monitor the vital signs frequently is incorrect. This is not active delegation during the seizure event; it is routine monitoring that may be performed independently or as part of standard care, not a critical intervention requiring immediate delegation. B. Directing the licensed practical nurse to administer rectal diazepam is correct. This represents active delegation, as the RN is assigning a specific, time-sensitive, and potentially life-saving task during the seizure. Rectal diazepam is indicated to stop prolonged tonic-clonic activity and prevent complications such as hypoxia or status epilepticus. Active delegation ensures that the task is carried out promptly by qualified personnel under the RN’s supervision. C. Entrusting the licensed practical nurse to administer acetaminophen is incorrect. Giving acetaminophen is not time-critical or related to seizure management, so this does not represent active delegation in an urgent situation. D. Ensuring the unlicensed assistive personnel reviews intake and output information is incorrect. While UAPs can assist with routine tasks, reviewing intake and output is unrelated to seizure management and does not constitute active delegation during an acute event.