Management of Care Q 24

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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? Select all that apply.

  

     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.

     E. Gather information about the seizure activity

    

Correct Answer: B & E

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Administration of medications that are not a high risk 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.

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Option A: Documentation is a nursing responsibility.

Option C: Patient education must be accomplished by the registered nurse because it is within their scope of practice.

Option D: Planning of care is a complex activity that requires RN level education and scope of practice.

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