Patient A, who has Alzheimer's disease, wanders and is often noisy and intrusive. The patient has a prn order for haloperidol (Haldol) IM for assaultive behavior

At report, the LPN/LVN charge nurse explains that staffing is poor and she is unable to provide the supervision the patient needs. She directs the medication nurse to administer the patient's prn haloperidol q4h during the shift. This action constitutes

a. negligence.
b. libel.
c. assault.
d. false imprisonment.


ANS: D
This is false imprisonment, an intentional tort. Chemical restraint is a means of detaining a person against his or her will. Negligence is an unintentional tort. Libel is a type of defamation. Assault refers to threatening behavior.

Nursing

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A terminally ill patient you are caring for is complaining of pain. The physician has ordered a large dose of intravenous opioids by continuous infusion. You know that one of the adverse effects of this medicine is respiratory depression

When you assess your patient's respiratory status, you find that the rate has decreased from 16 breaths per minute to 10 breaths per minute. What action should you take? A) Decrease the rate of IV infusion. B) Stimulate the patient in order to increase respiratory rate. C) Report the decreased respiratory rate to the physician. D) Allow the patient to rest comfortably.

Nursing

Physiological jaundice is frequently is seen in newborn infant. The nurse understands that this phenomenon is due to:

A) rapid destruction of RBC, coupled with immature liver function B) rapid increase in RBC production, along with blocked bile ducts C) contamination of the cord, rapid destruction of WBCs and RBCs D) blocked common bile duct and immature function of liver enzymes

Nursing

Mary, a postpartum woman who gave birth one day ago, is complaining of a headache. During the assessment, the perinatal nurse determines that Mary received an epidural during labor but has no medical history of headaches

Mary has no blurred vision or epigastric pain. The perinatal nurse's best first action is to: A) Assess Mary's vital signs B) Ask Mary if she has any allergies C) Inquire about the location and the severity of the headache D) Ask Mary if changes in her position decrease or intensify the headache

Nursing

The nurse is caring for a patient who has had a right hip replacement. For which position is the nurse attempting to achieve when a pillow is placed between the legs during turning?

a. Flexion of the knees b. Abduction of the thighs c. Adduction of the hip joint d. Hyperextension of the knees

Nursing