Question

Which assignment is outside the realm of nursing practice for the licensed practical nurse? A. Inserting a Foley catheter B. Discontinuing a nasogastric tube C. Obtaining a sputum specimen D. Starting a blood transfusion

Short answer

A) Inserting a Foley catheter B) Discontinuing a nasogastric tube C) Obtaining a sputum specimen D) Starting a blood transfusion Answer: D) Starting a blood transfusion

Step-by-step solution

Understanding the role and responsibilities of an LPN

A licensed practical nurse (LPN) is a healthcare professional that provides nursing care under the supervision of a registered nurse (RN) or a physician. Typical responsibilities include tasks like administering medication, inserting catheters, and collecting diagnostic samples. However, the exact scope of practice for an LPN depends on the laws and regulations in their jurisdiction.

Evaluating Option A - Inserting a Foley catheter

Inserting a Foley catheter is a common task for an LPN. It involves placing a catheter into a patient's bladder to drain urine. This procedure is usually performed to help manage urinary incontinence or when a patient is unable to urinate themselves. As this task is within the scope of practice for an LPN, option A is not correct.

Evaluating Option B - Discontinuing a nasogastric tube

Discontinuing a nasogastric tube means removing a tube that has been placed through the nose and into the stomach. This tube is used to administer nutrition or medication and may also be used to remove stomach contents. Removing a nasogastric tube is a task that LPNs are generally permitted to perform, so option B is not the correct answer.

Evaluating Option C - Obtaining a sputum specimen

Obtaining a sputum specimen is the process of collecting a sample of mucus from a patient's lungs for diagnostic purposes. This is usually done to test for infections or other lung conditions. Collecting specimens is part of the regular duties of an LPN, making option C an incorrect choice.

Evaluating Option D - Starting a blood transfusion

A blood transfusion is a medical procedure in which donated blood is administered to a patient through an intravenous (IV) line. Initiating a blood transfusion is typically considered to be outside the scope of practice for an LPN, as it requires specialized training and often involves administering blood products, which have more potential risks than medications. In many jurisdictions, starting a blood transfusion is a task reserved for RNs or physicians.

Conclusion: Identifying the correct option

Based on the analysis of each option and the understanding of the role and responsibilities of a licensed practical nurse, the correct answer is option D: Starting a blood transfusion. This task is not within the typical scope of practice for an LPN and is therefore considered to be outside their realm of practice.