Which task can safely be assigned to the LPN/LVN?

• A. Administering enoxaparin to a client who just returned from PACU after an ORIF.
• B. Initiating a blood transfusion for a hemodynamically unstable patient.
• C. Assessing a new onset focal neurologic deficit.
• D. Preparing a patient for an OR.

Answer: (A)

The task that aligns with the LPN/LVN role is administering a prescribed subcutaneous anticoagulant to a client who has just returned from the PACU after an ORIF. This fits because LPNs can perform routine medication administration that is part of an established plan and under supervision, after the initial postoperative assessment has been completed and orders are in place. Enoxaparin given postoperatively is a predictable, protocol-driven intervention, with monitoring for obvious signs of bleeding or adverse effects within the LPN’s scope.

Initiating a blood transfusion requires rapid assessment, confirming compatibility, monitoring for transfusion reactions, and responding to changes in the patient’s status—tasks that are typically reserved for a registered nurse. Assessing a new focal neurologic deficit demands a thorough neuro exam and potential escalation, which is beyond the LPN’s scope. Preparing a patient for an OR involves preoperative evaluation and education usually performed by an RN or perioperative team.