A hospitalized client with acquired immunodeficiency syndrome has wasting syndrome. Which nursing action is appropriate to assign to an LPN/LVN when providing care to the client?

Choice A reason: Providing instructions about diet requires teaching, which is outside the scope of practice for an LPN/LVN. Teaching is a responsibility reserved for registered nurses because it involves assessment, evaluation, and patient education. Choice B reason: Administering oxandrolone 5 mg/day is appropriate for an LPN/LVN. Medication administration is within their scope of practice, provided the medication is prescribed and the nurse follows established protocols. This task does not require independent judgment or advanced assessment skills. Choice C reason: Assessing for nutritional risk factors requires critical thinking and advanced assessment skills, which are responsibilities of the RN. LPNs/LVNs can collect data but cannot independently interpret or evaluate risk factors. Choice D reason: Developing a plan of care is a complex responsibility that involves synthesizing assessment data, prioritizing needs, and setting goals. This is outside the scope of practice for LPNs/LVNs and must be completed by an RN.