An RN is in charge of a team on a medical/surgical unit that includes an LPN. The RN understands that which of the following is an activity that falls outside the scope of practice of an LPN?

  • administer oral medications to a client
  • insert a nasogastric tube
  • care for a patient with a tracheostomy
  • develop a nursing care plan
Number 4 is correct.
Developing a nursing care plan requires the advanced knowledge consistent with the education of a registered nurse. An LPN may update or modify a care plan based on a change in client status. The other listed responsibilities are within the scope of an LPN.