Which of the following puts the nurse at increased risk for legal action?
a. Delegating a Foley catheter insertion to a LPN/LVN
b. Documenting the exact words a patient uses when complaining.
c. Not assessing a patient who is complaining of pain
d. Caring for a postoperative patient who has a pulmonary embolus while being transferred to the chair
ANS: C
A
Proper delegation does not increase risk for legal action.
B
Documenting in detail, including using direct quotations when appropriate, will protect the nurse from legal liability.
C
Failing to assess a patient constitutes an area of risk.
D
The embolus may have been unavoidable, and encouraging postoperative mobility meets the standard of care.
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