A nurse plans to leave her scheduled shift an hour early without permission or notification of the charge nurse. The patients in her assignment are stable. Which of the following legal torts applies to this situation? Which legal tort applies to leaving shift early without permission?
- A. Negligence
- B. Battery
- C. Slander
- D. Libel
Correct Answer: A
Rationale: The correct answer is A: Negligence. Leaving the shift early without permission constitutes negligence as it is a breach of the duty of care owed to the patients. The nurse has a legal responsibility to provide care for the patients until properly relieved. The other choices, Battery, Slander, and Libel, do not apply in this scenario. Battery involves intentional harmful or offensive contact without consent, Slander involves spoken defamation, and Libel involves written defamation. In this case, the nurse's actions do not align with the elements of these torts.
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A nurse notices a teenage patient with paraplegia in a wheelchair crying. What should the nurse's response be? What should the nurse respond to a crying teenage patient?
- A. I'll return later, and we can talk.
- B. Everything will be okay.
- C. Do you feel like crying helps?
- D. Would you like to be alone?
Correct Answer: A
Rationale: The correct answer is A: "I'll return later, and we can talk." This response acknowledges the patient's emotions, offers support, and opens the door for communication. It shows empathy and a willingness to engage with the patient. Choice B is dismissive and lacks empathy. Choice C may come across as invalidating the patient's feelings. Choice D may make the patient feel isolated. Overall, choice A is the most appropriate as it shows empathy, support, and a willingness to listen to the patient's concerns.
A nurse is educating a patient with binge eating disorder and morbid obesity who has been prescribed orlistat. Which of the following statements, if made by the patient, would indicate that they understand the teaching? Which statement indicates understanding of orlistat teaching?
- A. I will stop taking orlistat and call my doctor if my urine gets darker in color.
- B. I will take my dose of orlistat every morning an hour before breakfast.
- C. I will feel less hungry during meals while I am taking orlistat.
- D. I will eat a no-fat diet to prevent side effects from the medication.
Correct Answer: A
Rationale: The correct answer is A: "I will stop taking orlistat and call my doctor if my urine gets darker in color." This statement indicates understanding because dark urine could indicate a potentially serious side effect of orlistat, such as liver problems. Stopping the medication and seeking medical advice in such a situation is crucial for the patient's safety.
Explanation for other choices:
B: Taking orlistat with a meal containing fat is recommended, not on an empty stomach before breakfast.
C: Orlistat does not suppress appetite; it works by blocking the absorption of fat in the intestine.
D: While reducing fat intake is recommended to decrease side effects, a no-fat diet is not necessary and could lead to nutrient deficiencies.
E, F, G: No additional choices provided.
A nurse is conducting a class on medication reconciliation. What information should the nurse include in the teaching?,What information should be included in medication reconciliation teaching?
- A. Provide a list of the client's current medications during the change of shift report.
- B. Do not include over-the-counter medications in the medication reconciliation report.
- C. Do not perform reconciliation for a client at discharge from a health care facility.
- D. Provide a list of the client's current medications during admission to a health care facility.
Correct Answer: D
Rationale: The correct answer is D: Provide a list of the client's current medications during admission to a health care facility. This is essential in medication reconciliation to ensure that the healthcare team has accurate information about the client's current medications to prevent medication errors. During admission, it is crucial to compare the client's current medication list with the medications prescribed by the healthcare facility to identify any discrepancies. This information is vital for safe and effective care delivery.
Incorrect choices:
A: Providing a list of the client's current medications during the change of shift report is important but not specific to medication reconciliation during admission.
B: Over-the-counter medications should be included in the medication reconciliation report as they can interact with prescription medications.
C: Medication reconciliation should be performed at discharge to ensure a smooth transition of care and prevent medication discrepancies at home.
A nurse is formulating a care plan for a patient recovering from severe burns. Which of the following strategies should the nurse incorporate to provide emotional support? Which strategy provides emotional support for burn recovery?
- A. Engage in conversation with the patient during wound care.
- B. Ensure the patient's room is kept tidy by support staff.
- C. Keep the patient's family informed about his condition.
- D. Rotate the nursing staff to provide the patient with varied interactions.
Correct Answer: A
Rationale: The correct answer is A: Engage in conversation with the patient during wound care. This strategy provides emotional support by offering the patient a distraction and a sense of connection during a potentially painful and distressing procedure. It allows the patient to express their feelings and concerns, fostering a therapeutic relationship.
Choice B: Ensuring the patient's room is tidy is important for the patient's physical comfort but does not directly address emotional support.
Choice C: Keeping the patient's family informed is crucial for communication but may not directly provide emotional support to the patient.
Choice D: Rotating nursing staff may offer varied interactions, but consistency and building rapport with the same caregiver can be more beneficial for emotional support in this context.
The nurse is preparing a medication for a patient and observes the date of expiration on the vial occurred 2 months ago. Which of the following actions should the nurse take? What should the nurse do with expired medication?
- A. Discard the medication.
- B. Return the medication to the pharmacy.
- C. Notify the provider.
- D. Give the medication.
Correct Answer: B
Rationale: The correct answer is B: Return the medication to the pharmacy. Expired medication may be less effective or even harmful. By returning it to the pharmacy, the nurse ensures proper disposal, preventing potential harm to patients. Discarding the medication (choice A) is correct, but returning it to the pharmacy is preferred for proper disposal. Notifying the provider (choice C) may be done after returning the medication. Giving the medication (choice D) should never be an option due to safety concerns.
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