10TYK. Which nursing actions could result in professional negligence? Select all that apply.
1. Learns about a new piece of equipment.
2. Forgets to complete the assessment of a client.
3. Does not follow up on client’s complaints.
4. Charts client’s drug allergies.
5. Questions primary care provider about an illegible order.
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1CTC. A 79-year-old man with severe peripheral vascular disease has been told that a nonhealing lesion on his foot must be treated with either vascular bypass surgery or amputation of the foot. Although the surgeon believes the foot can be saved with bypass, the man elects to have the amputation. His main reason is that the site will heal more quickly and allow him to resume normal activities sooner. He asks for the nurse’s opinion.
What values and beliefs does the client seem to embrace?
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1TYK. A primary care provider’s orders indicate that a surgical consent form needs to be signed. Because the nurse was not present when the primary care provider discussed the surgical procedure, which statement best illustrates the nurse fulfilling the client advocate role?
1. “The doctor has asked that you sign this consent form.”
2. “Do you have any questions about the procedure?”
3. “What were you told about the procedure you are going to have?”
4. “Remember that you can change your mind and cancel the procedure.”
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2TYK. A primary care provider’s orders indicate that a surgical consent form needs to be signed. Because the nurse was not present when the primary care provider discussed the surgical procedure, which statement best illustrates the nurse fulfilling the client advocate role?
1. “The doctor has asked that you sign this consent form.”
2. “Do you have any questions about the procedure?”
3. “What were you told about the procedure you are going to have?”
4. “Remember that you can change your mind and cancel the procedure.”
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3CTC. A female adult client who has been blind since birth is admitted to the surgical unit. She is to have surgery the next morning. The primary care provider has written an order for the client to sign the surgical consent form. The husband is in the client’s room when the nurse approaches the client to sign the consent form. The husband says that he will sign for his wife.
How can the nurse ensure that the client is aware of what she is signing?
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3TYK. A nurse discovers that a primary care provider has prescribed an unusually large dosage of a medication. Which is the most appropriate action?
1. Administer the medication.
2. Notify the prescriber.
3. Call the pharmacist.
4. Refuse to administer the medication.
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4CTC. A female adult client who has been blind since birth is admitted to the surgical unit. She is to have surgery the next morning. The primary care provider has written an order for the client to sign the surgical consent form. The husband is in the client’s room when the nurse approaches the client to sign the consent form. The husband says that he will sign for his wife.
What else should the nurse consider when obtaining a signature?
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4TYK. A primary care provider prescribes one tablet, but the nurse accidently administers two. After notifying the primary care provider, the nurse monitors the client carefully for untoward effects of which there are none. Is the client likely to be successful in suing the nurse for professional negligence?
1. No, the client was not harmed.
2. No, the nurse notified the primary care provider.
3. Yes, a breach of duty exists.
4. Yes, foreseeability is present.
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5CTC. What would the nurse include in the documentation?
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5TYK. A nursing student is employed and working as an unlicensed assistive personnel (UAP) on a busy surgical unit. The nurses know that the UAP is enrolled in a nursing program and will be graduating soon. A nurse asks the UAP if he has performed a urinary catheterization on clients while in the nursing program. When the UAP says “Yes,” the nurse asks him to help her out by doing a urinary catheterization on a postsurgical client. What is the best response by the UAP?
1. “Let me get permission from the client first.”
2. “Sure. Which client is it?”
3. “I can’t do it unless you supervise me.”
4. “I can’t do it. Is there something else I can help you with?”
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6TYK. The primary care provider wrote a do-not-resuscitate (DNR) order. The nurse recognizes that which applies in the planning of nursing care for this client?
1. The client may no longer make decisions regarding his or her own health care.
2. The client and family know that the client will most likely die within the next 48 hours.
3. The nurses will continue to implement all treatments focused on comfort and symptom management.
4. A DNR order from a previous admission is valid for the current admission.
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7TYK. The nurse’s partner/spouse undergoes exploratory surgery at the hospital where the nurse is employed. Which practice is most appropriate?
1. Because the nurse is an employee, access to the chart is allowed.
2. The relationship with the client provides the nurse special access to the chart.
3. Access to the chart requires a signed release form.
4. The nurse can ask the surgeon to discuss the outcome of the surgery.
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8TYK. Following a motor vehicle crash, a nurse stops and offers assistance. Which of the following actions is/are most appropriate? Select all that apply.
1. The nurse needs to know the Good Samaritan Act for the state.
2. The nurse is not held liable unless there is gross negligence.
3. After assessing the situation, the nurse can leave to obtain help.
4. The nurse can expect compensation for helping.
5. The nurse offers to help but cannot insist on helping.
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9TYK. The nurse notices that a colleague’s behaviors have changed during the past month. Which behaviors could indicate signs of impairment? Select all that apply.
1. Is increasingly absent from the nursing unit during the shift.
2. Interacts well with others.
3. “Forgets” to sign out for administration of controlled substances.
4. Offers to administer pm opioids for other nurses’ clients.
5. Is able to say “no” to requests to work more shifts.
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2. Forgets to complete the assessment of a client.
3. Does not follow up on client’s complaints.
4. Charts client’s drug allergies.
5. Questions primary care provider about an illegible order.
Get Solution
1CTC. A 79-year-old man with severe peripheral vascular disease has been told that a nonhealing lesion on his foot must be treated with either vascular bypass surgery or amputation of the foot. Although the surgeon believes the foot can be saved with bypass, the man elects to have the amputation. His main reason is that the site will heal more quickly and allow him to resume normal activities sooner. He asks for the nurse’s opinion.
What values and beliefs does the client seem to embrace?
Get Solution
1TYK. A primary care provider’s orders indicate that a surgical consent form needs to be signed. Because the nurse was not present when the primary care provider discussed the surgical procedure, which statement best illustrates the nurse fulfilling the client advocate role?
1. “The doctor has asked that you sign this consent form.”
2. “Do you have any questions about the procedure?”
3. “What were you told about the procedure you are going to have?”
4. “Remember that you can change your mind and cancel the procedure.”
Get Solution
2TYK. A primary care provider’s orders indicate that a surgical consent form needs to be signed. Because the nurse was not present when the primary care provider discussed the surgical procedure, which statement best illustrates the nurse fulfilling the client advocate role?
1. “The doctor has asked that you sign this consent form.”
2. “Do you have any questions about the procedure?”
3. “What were you told about the procedure you are going to have?”
4. “Remember that you can change your mind and cancel the procedure.”
Get Solution
3CTC. A female adult client who has been blind since birth is admitted to the surgical unit. She is to have surgery the next morning. The primary care provider has written an order for the client to sign the surgical consent form. The husband is in the client’s room when the nurse approaches the client to sign the consent form. The husband says that he will sign for his wife.
How can the nurse ensure that the client is aware of what she is signing?
Get Solution
3TYK. A nurse discovers that a primary care provider has prescribed an unusually large dosage of a medication. Which is the most appropriate action?
1. Administer the medication.
2. Notify the prescriber.
3. Call the pharmacist.
4. Refuse to administer the medication.
Get Solution
4CTC. A female adult client who has been blind since birth is admitted to the surgical unit. She is to have surgery the next morning. The primary care provider has written an order for the client to sign the surgical consent form. The husband is in the client’s room when the nurse approaches the client to sign the consent form. The husband says that he will sign for his wife.
What else should the nurse consider when obtaining a signature?
Get Solution
4TYK. A primary care provider prescribes one tablet, but the nurse accidently administers two. After notifying the primary care provider, the nurse monitors the client carefully for untoward effects of which there are none. Is the client likely to be successful in suing the nurse for professional negligence?
1. No, the client was not harmed.
2. No, the nurse notified the primary care provider.
3. Yes, a breach of duty exists.
4. Yes, foreseeability is present.
Get Solution
5CTC. What would the nurse include in the documentation?
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5TYK. A nursing student is employed and working as an unlicensed assistive personnel (UAP) on a busy surgical unit. The nurses know that the UAP is enrolled in a nursing program and will be graduating soon. A nurse asks the UAP if he has performed a urinary catheterization on clients while in the nursing program. When the UAP says “Yes,” the nurse asks him to help her out by doing a urinary catheterization on a postsurgical client. What is the best response by the UAP?
1. “Let me get permission from the client first.”
2. “Sure. Which client is it?”
3. “I can’t do it unless you supervise me.”
4. “I can’t do it. Is there something else I can help you with?”
Get Solution
6TYK. The primary care provider wrote a do-not-resuscitate (DNR) order. The nurse recognizes that which applies in the planning of nursing care for this client?
1. The client may no longer make decisions regarding his or her own health care.
2. The client and family know that the client will most likely die within the next 48 hours.
3. The nurses will continue to implement all treatments focused on comfort and symptom management.
4. A DNR order from a previous admission is valid for the current admission.
Get Solution
7TYK. The nurse’s partner/spouse undergoes exploratory surgery at the hospital where the nurse is employed. Which practice is most appropriate?
1. Because the nurse is an employee, access to the chart is allowed.
2. The relationship with the client provides the nurse special access to the chart.
3. Access to the chart requires a signed release form.
4. The nurse can ask the surgeon to discuss the outcome of the surgery.
Get Solution
8TYK. Following a motor vehicle crash, a nurse stops and offers assistance. Which of the following actions is/are most appropriate? Select all that apply.
1. The nurse needs to know the Good Samaritan Act for the state.
2. The nurse is not held liable unless there is gross negligence.
3. After assessing the situation, the nurse can leave to obtain help.
4. The nurse can expect compensation for helping.
5. The nurse offers to help but cannot insist on helping.
Get Solution
9TYK. The nurse notices that a colleague’s behaviors have changed during the past month. Which behaviors could indicate signs of impairment? Select all that apply.
1. Is increasingly absent from the nursing unit during the shift.
2. Interacts well with others.
3. “Forgets” to sign out for administration of controlled substances.
4. Offers to administer pm opioids for other nurses’ clients.
5. Is able to say “no” to requests to work more shifts.
Get Solution
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