Nokea
Which of the following are examples of medical battery? Select all that apply.
- A. A child is placed in a papoose restraint for suturing of a facial laceration with the parent present
- B. Application of soft wrist restraints to the arms of a confused, adult client with a nasogastric tube
- C. The nurse administers 2 mg of morphine PRN to a difficult, alert client but tells the client it is saline
- D. The nurse inserts a needed urinary catheter even though a competent client refuses it
- E. The nurse threatens to put a client in restraints if the client does not stay in bed
Correct Answer: C,D
Rationale: Administering morphine deceptively and inserting a catheter against a competent client's refusal constitute medical battery. Restraints and threats, while concerning, are not battery.
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The nurse manager informs the nursing staff at morning report that the clinical nurse specialist will be conducting a research study on staff attitudes toward client care. All staff are invited to participate in the study if they wish. This affirms the ethical principle of
- A. Anonymity
- B. Beneficence
- C. Justice
- D. Autonomy
Correct Answer: D
Rationale: Autonomy. Individuals must be free to make independent decisions about participation in research without coercion from others.
The nurse is teaching a group of women about health issues. Today's topic is food poisoning. Which statement indicates a need for further instruction?
- A. I always wash my hands after I put raw meat in to cook.'
- B. I should put foods away in the refrigerator immediately after meals.'
- C. I will wash my kitchen counters with a bleach solution after preparing raw meat.'
- D. Rare meat is okay to eat as long as it is eaten immediately after cooking.'
Correct Answer: D
Rationale: Rare meat poses a risk for foodborne pathogens like E. coli, even if eaten immediately. Other statements reflect proper food safety practices.
An adult is to have a cardiac catheterization performed tomorrow. When preparing the client for the cardiac catheterization, it is essential for the nurse to do which of the following?
- A. Administer an enema two hours before the procedure
- B. Limit caffeine the day before the procedure
- C. Ask the client about allergies to shellfish
- D. Restrict fat intake the day before the procedure
Correct Answer: C
Rationale: Shellfish allergies may indicate iodine sensitivity, critical for contrast dye used in cardiac catheterization.
The nurse in the outpatient clinic is talking with a client who sustained a distal fracture of the humerus and had a cast applied 2 days ago. Which of the following statements by the client would be a priority to follow up?
- A. I am able to insert one finger between my cast and arm.
- B. I use a nail file to scratch my skin under the cast when it itches.
- C. I am having difficulty extending my fingers since I woke up this morning.
- D. I cannot take the prescribed pain medication because it makes me nauseous.
Correct Answer: C
Rationale: Difficulty extending fingers suggests nerve compression or compartment syndrome, a priority for follow-up. Other statements are less urgent.
The parent of an 8-year-old client asks the nurse for guidance on how to help the client cope with the recent death of the other parent. When developing a response to the parent, the nurse considers that a school-aged child is most likely to do what?
- A. React anxiously to altered daily routines
- B. Realize that death eventually affects everyone
- C. Think about the religious or spiritual aspects of death
- D. Understand that death is permanent but be curious about it
Correct Answer: D
Rationale: School-aged children (around 8 years old) typically understand death's permanence and may exhibit curiosity about it, which can guide coping strategies. A is more common in younger children. B and C are more typical of adolescents, who have more abstract thinking.