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? (Choose all that apply).

Document the onset time, nature of seizure activity, and postictal behaviors for all seizures. Administer phenytoin (Dilantin) 200 mg PO daily.Teach patient about the need for good oral hygiene.Develop a discharge plan, including physician visits and referral to the Epilepsy Foundation.

Explanation.

B – Administration of medications 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. Documentation of the seizure, patient teaching, and planning of care are complex activities that require RN level education and scope of practice. Focus: Delegation