A 23-year-old patient with a recent history of encephalitis is admitted to the medical unit with new onset generalized tonic-clonic seizures. Which nursing activities included in the patient’s care will be best to delegate to an LPN/LVN whom you are supervising?
A. Document the onset time, nature of seizure activity, and postictal behaviors for all seizures.
B. Administer phenytoin (Dilantin) 200 mg PO daily.
C. Teach the patient about the need for good oral hygiene.
D. Develop a discharge plan, including physician visits and referral to the Epilepsy Foundation.
Correct Answer: B. Administer phenytoin (Dilantin) 200 mg PO daily.
Administration of medications is included in LPN education and scope of practice. Collection of data about the seizure activity may be accomplished by an LPN/LVN who observes initial seizure activity. An LPN/LVN would know to call the supervising RN immediately if a patient started to seize.
Option A: An LPN plans and manages patient care according to each patient’s needs; obtains patient vital signs, including pulse, blood pressure, temperature, and respiration; and provides routine care for patients.
Option C: Licensed practical nurses are in demand in several industries throughout the global workforce. Most LPNs work in healthcare facilities, including hospitals, doctors’ offices, and nursing homes. Their duties generally include providing routine care, observing patients’ health, assisting doctors and registered nurses, and communicating with patients and their families.
Option D: Licensed practical nurses (LPN’s) are important in modern healthcare practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes.
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