Nokea
An elderly client who requires frequent monitoring fell and fractured a hip. Which LPN/LVN is at greatest risk for a malpractice judgment?
- A. A nurse who worked the 7 to 3 shift at the hospital and wrote poor nursing notes.
- B. The nurse assigned to care for the client who was at lunch at the time of the fall.
- C. The nurse who transferred the client to the chair when the fall occurred.
- D. The charge nurse who completed rounds 30 minutes before the fall occurred.
Correct Answer: C
Rationale: The nurse who transferred the client to the chair when the fall occurred is directly involved in the event that led to the injury. Improper transfer techniques or lack of appropriate precautions during the transfer could have contributed to the fall and subsequent fracture of the hip. This direct involvement makes this nurse the one at greatest risk for a malpractice judgment. Choices A, B, and D are not as directly linked to the event that caused the injury. While poor nursing notes could be a factor, it is the immediate action of transferring the client that has a more direct impact on the client's fall and subsequent injury.
You may also like to solve these questions
During the stages of dying, a client reaches the point of acceptance. What response should the LPN/LVN expect the client to exhibit?
- A. Apathy
- B. Euphoria
- C. Detachment
- D. Emotionalism
Correct Answer: C
Rationale: During the stages of dying, when a client reaches the point of acceptance, the expected response is 'Detachment.' This is characterized by the individual withdrawing emotionally and psychologically from their surroundings as they come to terms with their impending death. Apathy (Choice A) refers to a lack of interest, enthusiasm, or concern, which is not typically associated with the acceptance stage. Euphoria (Choice B) is an intense feeling of happiness or excitement, which is less likely during the acceptance stage of dying. Emotionalism (Choice D) involves exaggerated or uncontrollable emotional reactions, which are not commonly seen during the acceptance phase.
A client with a history of hypertension is prescribed a diuretic. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the medication?
- A. Monitor serum calcium levels.
- B. Monitor serum potassium levels.
- C. Monitor serum sodium levels.
- D. Monitor serum magnesium levels.
Correct Answer: B
Rationale: The correct answer is to monitor serum potassium levels. When a client is prescribed a diuretic, monitoring serum potassium levels is essential to evaluate the medication's effectiveness and to detect potential electrolyte imbalances. Diuretics can cause potassium loss, leading to hypokalemia, which can have serious consequences such as cardiac arrhythmias. Monitoring serum calcium levels (Choice A) is not typically required when assessing the effectiveness of diuretics. Similarly, monitoring serum sodium levels (Choice C) is important for other conditions but is not the primary concern when evaluating diuretic therapy. Monitoring serum magnesium levels (Choice D) is also important, but potassium levels are more critical in assessing diuretic effectiveness and preventing complications.
A client is hospitalized for an infection of a surgical wound following abdominal surgery. To promote healing and fight wound infection, the nurse plans to arrange to increase the client's intake of:
- A. Vitamin C and Zinc
- B. Vitamin B12 and Calcium
- C. Vitamin D and Iron
- D. Vitamin A and Potassium
Correct Answer: A
Rationale: The correct answer is A: Vitamin C and Zinc. Vitamin C is essential for collagen synthesis, which is important for wound healing. Zinc plays a crucial role in immune function and also aids in wound healing. Vitamin B12 and Calcium (Choice B) are not directly associated with wound healing properties. Vitamin D and Iron (Choice C) are important for overall health but are not specifically targeted for wound healing. Vitamin A and Potassium (Choice D) do not have direct wound healing properties and are not the best choices to promote wound healing and fight infection.
When moving a patient up in bed using a drawsheet with the help of another nurse, in which order will the nurses perform the steps, starting with the first one?
- A. Grasp the drawsheet firmly near the patient.
- B. Move the patient and drawsheet to the desired position.
- C. Position one nurse at each side of the bed.
- D. Place the drawsheet under the patient from shoulder to thigh.
Correct Answer: C
Rationale: When moving a patient up in bed with a drawsheet and the assistance of another nurse, it is important to have one nurse positioned at each side of the bed initially. This allows for proper coordination and support during the patient movement. Placing the drawsheet under the patient from shoulder to thigh, grasping the drawsheet firmly near the patient, and moving the patient and drawsheet to the desired position follow after the nurses are positioned on each side of the bed. The correct sequence ensures a safe and coordinated approach to repositioning the patient in bed.
When initiating cardiopulmonary resuscitation (CPR), what assessment finding must the healthcare provider confirm before beginning chest compressions?
- A. Absence of a pulse
- B. Presence of a pulse
- C. Respiratory rate
- D. Blood pressure
Correct Answer: A
Rationale: The correct answer is A: Absence of a pulse. Prior to initiating chest compressions during CPR, it is essential to confirm the absence of a pulse. Chest compressions are indicated when there is no detectable pulse as it signifies cardiac arrest. Checking for a pulse is a critical step to ensure that CPR is performed on individuals who truly require it. Choices B, C, and D are incorrect because focusing on the presence of a pulse, respiratory rate, or blood pressure before starting chest compressions can delay life-saving interventions in a person experiencing cardiac arrest.