While performing the admission assessment of a new client, the nurse observed that the client brought a bottle of over-the-counter pain medication to the hospital. The nurse failed to document this or remove the medication from the room
Subsequently, the client experienced a serious adverse drug reaction as a result of the interaction between this drug and one of the drugs that she was prescribed in the hospital. This nurse may be guilty of what?
A) Assault
B) Malpractice
C) Failure of duty to warn
D) Incompetence
Ans: B
The four elements of nursing malpractice are evident in this scenario. Assault is an act that puts another person in apprehension of being touched or of bodily harm without consent, and failure of duty to warn surrounds a client's threat to harm another person. Incompetence, in the legal sense, surrounds a client's right to autonomy.
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A nurse assesses a 4-month-old infant and notes the baby does not follow a moving object with her eyes. What action by the nurse is best?
a. Document the findings and continue the assessment. b. Refer the child and parent to a pediatric neurologist. c. Assess the child for other age-appropriate behaviors. d. Assess the child for signs of child abuse or neglect.
Which of the following best describes how a case manager identifies people who would benefit from case management services? (Select all that apply.)
a. Evidence-based criteria b. Families who express doubt that the patient is receiving adequate care c. Patient having setbacks from treatment d. Referrals from health care providers or agencies e. Risk identification from data management f. Use of health risk screening tools
The nurse focuses on effective communication when caring for an older client. Which method does the nurse use?
1. Speak continuously so the client can stay focused on the conversation. 2. Ask for clarification, rephrase, and summarize throughout the interaction. 3. Keep the speaking voice loud and make statements slowly and clearly. 4. Change the subject if the client seems disturbed by the discussion topic.
When preparing a patient for an exercise stress test, the plan of care should include which of the following nursing interventions?
1. withholding all cardiac medications 2. discussing the use of a radionuclide injection 3. initial NPO status 4. assessing peripheral perfusion