Question

Which action for a patient with neutropenia is appropriate for the registered nurse (RN) to delegate to a licensed practical/vocational nurse (LPN/LVN)?

a. Assessing the patient for signs and symptoms of infection
b. Teaching the patient the purpose of neutropenic precautions
c. Administering subcutaneous filgrastim (Neupogen) injection
d. Developing a discharge teaching plan for the patient and family

Answer 1

The appropriate action for a patient with neutropenia that an RN can delegate to an LPN/LVN is administering subcutaneous filgrastim (Neupogen) injection.

Step-by-step explanation:

The appropriate action for a patient with neutropenia that a registered nurse (RN) can delegate to a licensed practical/vocational nurse (LPN/LVN) is c. Administering subcutaneous filgrastim (Neupogen) injection. LPN/LVNs are trained in performing tasks such as administering medications, including injections, under the direct supervision of an RN. Assessing patients and teaching patients are considered more complex tasks that typically require the advanced training and critical thinking skills of an RN. However, administering medication is a task well within the LPN/LVN’s scope of practice, as it follows a standardized procedure and does not require the advanced assessment skills or the development of a teaching plan.