An LPN/LVN is asked by the RN to administer an IV chemotherapeutic agent to a patient in the acute care setting. What law should this nurse refer to before initiating this intervention?
- A. Standards of care
- B. Regulation of practice
- C. American Nurses' Association Code
- D. Nurse practice act
Correct Answer: D
Rationale: It is the nurse's responsibility to know the nurse practice act in his or her state. Standards of care, regulation of practice, and the American Nurses' code are not laws that the nurse should refer to before initiating this treatment.
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What is the best way for a nurse to avoid a lawsuit?
- A. Carry malpractice insurance.
- B. Spend time with the patient.
- C. Provide compassionate competent care.
- D. Answer all call lights quickly.
Correct Answer: C
Rationale: The best defense against a lawsuit is to provide compassionate and competent nursing care. Carrying malpractice insurance is prudent, but it will not avoid a lawsuit. Spending time with patients and answering call lights quickly will not necessarily help avoid a lawsuit.
A health care provider instructs the nurse to bladder train a patient. The nurse clamps the patient's indwelling urinary catheter but forgets to unclamp it. The patient develops a urinary tract infection. What do the nurse's actions exemplify?
- A. Malpractice
- B. Battery
- C. Assault
- D. Neglect of duty
Correct Answer: A
Rationale: A nurse is liable for acts of commission (doing an act) and omission (not doing an act) performed in the course of their professional duty. A charge of malpractice is likely when a duty exists, there is a breach of that duty, and harm has occurred to the patient.
What role is the nurse who diligently works for the protection of patients' interests playing?
- A. Caregiver
- B. Health care administrator
- C. Advocate
- D. Health care evaluator
Correct Answer: C
Rationale: A nurse accepts the role of advocate when, in addition to general care, the nurse protects the patient's interests. Caregiver, health care administrator, and health care evaluator are not terms for the nurse who diligently works for the protection of patients.
How can the medical record be used in litigation?
- A. Public record
- B. Proof of adherence to standards
- C. Evidence of omission of care
- D. Documentation of time lapses
- E. Evidence by only the plaintiff
Correct Answer: A,B,C,D
Rationale: The information when used in court becomes a public record. The information can be used as proof of adherence to standards, omission of care, and documentation of time lapses. Both plaintiff and defendant can use the document.
The new LPN/LVN is concerned regarding what should or should not be done for patients. What resource will best provide this information?
- A. Nurse practice act
- B. Standards of care
- C. Scope of nursing practice
- D. Professional organizations
Correct Answer: B
Rationale: Standards of care define what should or should not be done for patients. The nurse practice act, scope of nursing practice, and professional organizations do not provide the best information as to what should or should not be done for patients.
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