A patient refused to ambulate postoperatively and subsequently developed bilateral pneumonia, causing his hospital stay to be lengthened

After discharge, the patient filed a lawsuit claiming his primary nurse was negligent in allowing him to develop pneumonia. What is the nurse's best defense in this case? 1. The patient was told that complications could arise when signing the informed consent form.
2. The patient should have anticipated a longer hospital stay if complications arose.
3. The patient was aware of the substandard care at the time it occurred.
4. The patient's conduct contributed to his complications.


4
Rationale: While the patient assumes risk with informed consent, which could be a potential defense, the patient did not follow advice or instructions.

Nursing

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A nursing student asks why the child with hypothyroidism would have high levels of thyroid-stimulating hormone (TSH). Which response by the faculty is the most appropriate?

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The most appropriate intervention by the nurse to decrease the pain of an abdominal incision while coughing would be to:

a. Support the surgical site with a pillow b. Position patient in a side-lying position c. Medicate with prescribed narcotic before coughing d. Ask the patient to cross arms over the chest to increase force of cough

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Which drugs are used to treat COPD? (Select all that apply.)

a. Anticholinergic medications b. Glucocorticoids c. Leukotriene modifiers d. Long-acting beta2 agonists e. Monoclonal antibodies

Nursing

An adolescent client diagnosed with cystic fibrosis suddenly becomes noncompliant with the medication regimen. Which nursing intervention would most likely improve compliance?

1. Give the client a computer-animated game that presents information on the management of cystic fibrosis. 2. Set up a meeting with other adolescents with the cystic fibrosis who have been managing their disease effectively. 3. Arrange for the primary healthcare provider to sit down and talk to the client about the risks related to noncompliance with medications. 4. Discuss with the client's parents that privileges, such as a cell phone, can be taken away if compliance fails to improve.

Nursing