NursingPlex
    Sign In
    Ati Lpn Med Surg IV Therapy Proctored Exam

    Which action is within the LVN scope related to IV therapy in Texas (per facility policy and training)?

    Explanation & Rationale

    Rationale: A. Administer IV push medications independently is incorrect because in Texas, LVNs cannot independently give IV push (bolus) medications. This is considered a high-risk skill requiring RN judgment. LVNs may administer IV push only if explicitly allowed by facility policy, training, and competency validation. B. Prescribe IV fluids is incorrect because prescribing medications or fluids is outside the LVN scope of practice. LVNs follow orders from a licensed provider; prescribing is reserved for physicians, nurse practitioners, or physician assistants. C. Initiate and monitor peripheral IV therapy is correct. In Texas, LVNs are trained and authorized to start peripheral IVs (in most facilities), monitor the site for complications, regulate infusion rates within established parameters, and document appropriately, as long as they follow facility policy and their competency validation. This is a core LVN responsibility in IV care. D. Insert a central venous catheter is incorrect because central line insertion is a complex, high-risk procedure reserved for RNs with specialized training, nurse practitioners, or physicians. LVNs do not perform central line insertions.

    🔒 Submit your answer to reveal