Which task should be performed by the RN rather than the LPN/LVN for a patient with GI cancer?

• A. Administer enemas
• B. Provide preoperative teaching
• C. Administer antibiotics
• D. Central line insertion

Answer: (D)

The key idea here is that central line insertion is an RN-level, invasive procedure that requires sterile technique, careful assessment, and the ability to manage potential complications. For a patient with GI cancer, a central venous catheter is often needed for chemotherapy, parenteral nutrition, or frequent blood draws, so correct placement and immediate post-procedure monitoring are critical. An RN has the training to perform the insertion, verify catheter placement (often via imaging), and promptly recognize and respond to issues like pneumothorax, air embolism, or catheter malposition. The LPN/LVN, while skilled in routine nursing tasks, does not perform invasive vascular access procedures.

Other tasks mentioned can be within the LPN/LVN scope under supervision, such as assisting with enema administration or supporting preoperative teaching and antibiotic administration, depending on facility policy and state regulations. The important distinction is that inserting a central line requires the advanced, RN-level scope of practice.