A hematology unit is staffed by RNs, LPNs/LVNs, and unlicensed assistive personnel (UAP). When the nurse manager is reviewing documentation of staff members, which entry indicates that the staff member needs education about his or her appropriate level of responsibility and client care?
A. "Abdominal pain relieved by morphine 4 mg IV; client resting comfortably and denies problems. B.C., RN"
B. "Ambulated in hallway for 40 feet and denies shortness of breath at rest or with ambulation. T.Y., LPN"
C. "Client reporting increased shortness of breath; oxygen increased to 4 L by nasal cannula. M.N., UAP"
D. "Vital signs 37.0° C, heart rate 60, respiratory rate 20, blood pressure 110/68, and oximetry 98% on room air. L.D., UAP"