A nurse is caring for a patient who was admitted with a subarachnoid hemorrhage. The healthcare provider orders state that neurological assessments need to be preformed every 30 minutes
The nurse forgets to perform the assessments on two different occasions. An action that can lead to a malpractice suit would be:
A. Assessing the patient more than once per shift.
B. Explaining the patient's current condition to the family.
C. Holding the next dose of sedation in order to perform a neurological assessment.
D. Altering the time the assessments were performed
ANS: D
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The critical care unit environment is very stressful for patients, families, and staff. What nursing action is directed at reducing environmental stress?
A) Constant expert evaluation of patient status B) Limiting visits to immediate family C) Bathing all patients during hours of sleep D) Maintaining a quiet environment during hours of sleep
A 77-year-old woman is concerned because she has occasionally found her husband sleepwalking in the last several weeks. What is her care provider's most appropriate response to her concerns?
A) "This is not an uncommon event that often accompanies older age." B) "I'll likely prescribe a benzodiazepine for this when I next see your husband." C) "This is understandably upsetting for you, but as long as the environment is safe, it's likely not significant." D) "There may be something else going on with your husband such as delirium or a problem with his medications."
If a 2-year-old child received a caution on the Denver II, this would indicate that the child
a. attempted but did not successfully complete one of the tasks. b. failed to perform a task that has been achieved by 75%–90% of children the same age. c. failed to perform a task that has been achieved by 100% of children the same age. d. refused to perform one of the critical tasks.
The nurse is caring for a 9-year-old boy with achondroplasia. Which of the following would the nurse expect to assess?
A) Narrow passages from the nose to the throat B) Slim stature, hypotonia, and a narrow face C) Craniosynostosis and a small nasopharynx D) Trident hand and persistent otitis media