The RN head nurse is having a busy day. When the LPN/LVN reports data she has collected, the RN states, "Incorporate that into the nursing care plan and write down the intervention you'd use. I'll co-sign the entry." The LPN/LVN should
a. do as requested.
b. ask the advice of the shift supervisor later in the shift.
c. tell the RN that this action is not within the LPN/LVN scope of practice.
d. write a letter to the state board of nursing to report the RN's unprofessional conduct.
ANS: C
The RN is responsible for determining the nursing care plan. The LPN/LVN collects data that the RN may use to modify the plan, but the LPN/LVN may not independently modify the plan. If the LPN/LVN functions outside the identified scope of practice, he or she would be breaking the law. The remaining options do not directly address the problem at the time it occurs.
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