A registered nurse assesses a hospitalized client who suddenly develops pleuritic chest pain and shortness of breath. Suspecting a pulmonary embolism, the nurse asks a licensed practical/vocational nurse (LPN/LVN) to help address the client's immediate needs while the RN notifies the rapid-response team. Which delegated action is appropriate for the LPN/LVN to perform?
Diagnose pulmonary embolism and notify the health-care provider.
Interpret the client's arterial blood-gas results to gauge severity.
Independently start oxygen therapy without an existing order.
Reposition the client into a high-Fowler position to ease breathing.
Repositioning the client into a high-Fowler or upright position is within LPN/LVN scope and can rapidly improve ventilation by reducing pressure on the diaphragm. Administering oxygen or other medications must follow a provider or standing order, and interpreting arterial blood gases or making a medical diagnosis requires RN or provider-level judgment.
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