The RN is assigning a client to the LPN. The RN understands that the best assignment for the LPN is which client?

  1. a client receiving blood for a GI bleed
  2. a client with a PICC line requiring TPN
  3. a client who will receive enemas in preparation for a colonoscopy
  4. a client who needs preoperative teaching for bowel resection surgery
Number 3 is correct.
Rationale: Administering enemas is within the scope of practice for LPNs. Administering blood and giving anything through any type of central line, including PICCs, is beyond the scope of practice for LPNs. Preoperative teaching must be done by the RN. The duties of an LPN may vary from state to state; it is the RN’s responsibility to be familiar with the Nurse Practice Act of his state and to know the limitations of an LPN’s duties.