Adult medical-surgical care tasks and observations within LPN/LVN scope of practice, distinct from the RN-level medical-surgical deck.
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- Who performs the initial comprehensive assessment when a patient is admitted to the unit?
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The registered nurse (RN)- What is the LPN/LVN's role in the ongoing assessment of a stable patient?
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Collect and report data to contribute to the RN's assessment- Can an LPN/LVN initiate a new nursing care plan?
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No, only the RN initiates a care plan- What is the LPN/LVN's role once an RN has established a care plan?
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Implement and reinforce the established plan of care- Which type of patient teaching falls within LPN/LVN scope: initial teaching or reinforcement teaching?
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Reinforcement teaching- In most states, is administering an IV push medication within LPN/LVN scope of practice?
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No, IV push medications are generally outside LPN/LVN scope- What medication routes are typically within LPN/LVN scope?
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Oral, intramuscular, subcutaneous, and most established IV infusions- Can an LPN/LVN delegate an assessment task to unlicensed assistive personnel (UAP)?
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No, assessment cannot be delegated- What kind of tasks can an LPN/LVN safely delegate to a UAP?
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Routine, standardized tasks with predictable outcomes, such as basic hygiene or vital signs on a stable patient- What should an LPN/LVN do when assigned to a patient whose condition suddenly becomes unstable?
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Promptly report the change to the RN- What type of patient assignment is most appropriate for an LPN/LVN?
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A patient with a stable, predictable condition- Can an LPN/LVN apply a restraint on a confused patient without an order?
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No, a restraint requires a provider or RN order and cannot be initiated independently by the LPN/LVN- After an RN verifies and starts a blood transfusion, what can the LPN/LVN typically do?
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Monitor the patient's vital signs and observe for transfusion reactions- In many states, what IV-related skill can a certified LPN/LVN perform?
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Start a peripheral IV line- What action helps prevent deep vein thrombosis (DVT) in a postoperative patient?
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Encourage leg exercises and early ambulation, and apply sequential compression devices
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