Nokea
The nurse has attended a staff education program about sources of negligent lawsuits. It would indicate effective understanding if the nurse identifies which of the following is a source of a negligent lawsuit?
- A. The nurse documents care under another nurse's username and password
- B. The nurse takes pictures of a client's medical record and distributes them online
- C. The nurse does not notify the physician of a client's critical laboratory result
- D. The nurse treats their spouse in the acute care facility with prescribed medications
Correct Answer: A, B, C, D
Rationale: All options (A, B, C, D) are sources of negligent lawsuits: documenting under another’s credentials (A) is fraudulent, sharing medical records online (B) violates HIPAA, failing to report critical results (C) delays care, and treating a spouse with medications (D) breaches professional boundaries and scope of practice. Since the question implies multiple selections, all are correct.
You may also like to solve these questions
The nurse is caring for assigned clients. The nurse should initially
- A. evaluate a client’s Mantoux test for tuberculosis tuberculin skin (TB) test for reactivity 48 hours after it has been administered.
- B. assess a client with atrial fibrillation who has an irregular pulse (P) of 90 beats/minute.
- C. apply the catheter prescribed medication to the lumbar back region of a client with chronic pain.
- D. administer the prescribed antibiotic scheduled for a client with peritonitis.
Correct Answer: D
Rationale: Administering antibiotics for peritonitis (C) is the priority to treat life-threatening intra-abdominal infection. TB test evaluation (D), AF pulse assessment (B), and lidocaine patch application (A) are less urgent, as they address stable or chronic conditions.
A hospital is initiating its emergency disaster plan following a mass casualty incident. Which client should the nurse recommend for discharge in preparation for the incoming clients?
- A. A client with type 1 diabetes admitted for new-onset diabetic ketoacidosis and is receiving intravenous insulin
- B. A client with atrial fibrillation admitted 2 days ago, now on oral anticoagulants and in normal sinus rhythm
- C. A client admitted with community-acquired pneumonia requiring oxygen at 3 L/min via nasal cannula
- D. A client admitted with a tibial fracture 6 hours ago, who is post-operative with a cast and stable vital signs
Correct Answer: B
Rationale: The client with atrial fibrillation, now stable on oral anticoagulants (B), is the most suitable for discharge to free beds. Diabetic ketoacidosis (A), pneumonia with oxygen (C), and recent post-operative fracture (D) require ongoing hospital care.
The nurse is triaging phone calls at the physician’s office. The nurse should initially follow-up on the client who had
- A. cataract lens extraction one day ago and is reporting persistent nausea and vomiting.
- B. laparoscopic hysterectomy two days ago and is reporting pain with urination.
- C. ileostomy placement three days ago and is reporting that the stoma is swollen.
- D. total hip arthroplasty four days ago and refused physical therapy due to increased pain.
Correct Answer: A
Rationale: Persistent nausea and vomiting post-cataract surgery (A) suggest possible complications like increased intraocular pressure, requiring immediate follow-up. Dysuria (B), stoma swelling (C), and therapy refusal (D) are less urgent, as they are common or non-emergent.
The nurse is triaging phone calls for the primary healthcare provider (PHCP). Which client situation requires immediate notification to the PHCP?
- A. A client with heart failure that reports an overnight weight gain of three pounds.
- B. A client with peritoneal dialysis who has not had a bowel movement in two days.
- C. A client with irritable bowel syndrome (IBS) that reports frequent diarrhea.
- D. A client with nephrolithiasis that reports bloody urine and flank pain.
Correct Answer: A
Rationale: Rapid weight gain of three pounds overnight in heart failure (A) indicates fluid overload, a potential precursor to acute decompensation, requiring immediate PHCP notification. Constipation in peritoneal dialysis (B), frequent diarrhea in IBS (C), and hematuria with flank pain in nephrolithiasis (D) are concerning but less immediately life-threatening.
[Orders ]
olanzapine 2.5 mg by mouth daily
obtain daily weights
12-lead electrocardiogram
consult nutritional services
The nurse is reviewing the physician orders for a client admitted with anorexia nervosa reporting weakness and abdominal distention. The nurse should prioritize:
- A. administering olanzapine.
- B. consulting nutritional services.
- C. performing the 12-lead electrocardiogram.
- D. weighing the client.
Correct Answer: C
Rationale: The client with anorexia nervosa reporting abdominal distention and weakness is concerning for hypokalemia. The nurse should prioritize performing the 12-lead electrocardiogram because cardiovascular collapse may occur if the client's physical symptoms go unrecognized and untreated. Additional testing is required, including a complete metabolic panel and magnesium level. Features of hypokalemia on the electrocardiogram include U-wave development, ST depression, and shallow, flat, or inverted T wave.