A client admitted yesterday with exertional heat stroke was cooled in the emergency department. Today: T 37.4 C, HR 88/min, BP 126/74 mm Hg, alert and oriented. Creatine kinase 18,400 units/L (9,200 units/L yesterday). IV fluids at 250 mL/hr with a urine output goal of at least 200 mL/hr. At 0700 the client became dizzy and pale when standing, was helped back to bed, and has not been up since; the RN has not yet reassessed this. Which tasks can the RN delegate to the assistive personnel (AP)? Select all that apply.

Quick answer
Delegate hourly urine emptying and recording, reporting low urine output, vital signs every 4 hours with a report threshold, and the bed bath.

Why this is correct
The admitting diagnosis sounds unstable, but today's data show a stable client (T 37.4 C, HR 88, BP 126/74, alert). Tasks done with the client in bed, with clear parameters and predictable outcomes, are delegable. The detail that changes two usually delegable tasks is the unassessed orthostatic episode: anything that requires standing waits for the RN.

Easy analogy or mental picture
AP are the measuring tape and alarm bell for a stable client in bed; the first time the client stands after fainting-type symptoms, the RN is the spotter.

Memory hook
In bed + stable + clear parameters = AP. First time standing after a dizzy spell = RN.

NCLEX decision rule
Decide delegation from the client's current status and any unassessed change, not from the task name alone or the admitting diagnosis.

Why the other choices are wrong
Weighing a client on a standing scale is one of the most commonly delegated tasks, which makes it tempting, but this client has not stood since becoming dizzy and pale and the RN has not reassessed orthostatic tolerance. Helping the client walk to the bathroom is also routinely delegable, yet the first ambulation after this episode requires RN assessment of orthostatic vital signs and fall risk before AP can assist.