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Difficulty: MediumClient Care Assignments and Collaboration

A licensed practical/vocational nurse (LPN/VN) is working in an outpatient oncology clinic alongside a registered nurse (RN) and assistive personnel (AP). Which action by the LPN/VN demonstrates an appropriate understanding of care assignments and scope of practice?

  1. Administering a routine oral antiemetic medication to a stable client prior to their scheduled chemotherapy.Answer
  2. B
    Performing the initial, comprehensive physical assessment on a newly admitted client presenting with suspected neutropenic fever.
  3. C
    Explaining the potential complications of a bone marrow biopsy to a client in order to obtain their informed consent.
  4. D
    Updating a client's visiting friends about the latest tumor biopsy results to help them provide emotional support.

Answer

The correct action is administering a routine oral antiemetic medication to a stable client prior to their scheduled chemotherapy.
Administering a scheduled oral medication to a stable client is a standard, predictable task that falls safely within the licensed practical/vocational nurse (LPN/VN) scope of practice. It does not require complex RN-level assessment or critical care judgment.

Step-by-Step Solution

1
Analyze the LPN/VN scope of practice regarding medication administration and task delegation.
LPN/VNs can safely administer routine oral medications to stable clients.
This is a fundamental and predictable skill within the practical nursing scope of practice.
2
Evaluate the other options against legal, ethical, and scope-of-practice standards.
Initial assessments, providing detailed procedural explanations for consent, and sharing unauthorized medical information fall outside the LPN/VN scope or violate ethical standards.
These actions require RN-level clinical judgment, healthcare provider responsibility, or directly violate HIPAA privacy regulations.

Key Concept

Client Care Assignments and LPN/VN Scope of Practice
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Topics

Client Care Assignments and Collaboration

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