A 13-year-old client has a mole removed by a plastic surgeon. The benefits & risks of the procedure were explained to the client's legal guardian but there is no documentation in the client's medical record. An attorney contacts the plastic surgeon & the nurse who assisted in the procedure because the client's family wants to sue on the grounds of.

battery

injury

failure to follow the standard of care

slander

Answer and Explanation

The Correct Answer is C

In this scenario, the lack of documentation regarding the explanation of the benefits and risks of the procedure in the client's medical record could be interpreted as a failure to follow the standard of care. Option C is the most appropriate choice for the grounds on which the family might sue:

C. Failure to follow the standard of care:

Healthcare providers are expected to adhere to a standard of care, which includes adequately informing patients or their legal guardians about the benefits, risks, and alternatives of medical procedures. Failure to document informed consent discussions and obtain signed consent forms may be considered a breach of the standard of care. Without proper documentation, it becomes challenging to prove that the healthcare providers fulfilled their duty to obtain informed consent and adequately inform the patient or legal guardian about the procedure's risks and benefits. The absence of documentation may suggest negligence or a lack of thoroughness in the healthcare provider's practice, which could serve as grounds for a lawsuit.

A. Battery:

Battery refers to the intentional and unauthorized touching of another person, which includes performing a medical procedure without obtaining informed consent. While the lack of documentation may suggest a failure to obtain proper consent, it does not necessarily imply intentional wrongdoing or a deliberate act of touching without consent (battery).

B. Injury:

While the client may have experienced an injury if complications arose from the procedure, the focus of the scenario is on the absence of documentation regarding informed consent rather than the occurrence of an injury itself. The grounds for a lawsuit are related to the failure to follow the standard of care in obtaining informed consent rather than the presence of an injury.

D. Slander:

Slander involves making false and damaging statements about someone that harm their reputation. The lack of documentation regarding informed consent does not relate to slander, as it does not involve making false statements but rather the failure to document discussions and obtain consent properly.

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Correct Answer is A

Explanation

A. The elevated serum sodium (Na+) level of 150 mEq/L validates the symptoms of vomiting and diarrhea in the client. Vomiting and diarrhea lead to fluid loss and dehydration, resulting in an increased serum sodium concentration due to the loss of water from the body. Hypernatremia (elevated serum sodium) is consistent with dehydration resulting from prolonged vomiting and diarrhea. An elevated sodium level is indicative of hypertonic dehydration, where water loss exceeds electrolyte loss, leading to increased serum sodium concentration

B. Cl-95 mEq/L: Chloride (Cl-) is an electrolyte often lost in cases of vomiting and diarrhea due to the loss of gastric secretions and chloride-rich fluids. A chloride level of 95 mEq/L is slightly lower than normal (normal range: 96-106 mEq/L), which suggests mild chloride depletion.

C. K+3.7 mEq/L: Potassium (K+) levels within the normal range (3.5-5.0 mEq/L) do not necessarily validate symptoms of vomiting and diarrhea. While potassium loss can occur in cases of prolonged vomiting and diarrhea, the potassium level provided falls within the normal range.

D. HCO3-26 mEq/L: Bicarbonate (HCO3-) levels within the normal range (22-29 mEq/L) do not necessarily validate symptoms of vomiting and diarrhea. Elevated bicarbonate levels may indicate metabolic alkalosis, which can occur as a compensatory mechanism in response to acid loss through vomiting or diarrhea, but this value alone does not confirm the symptoms.

A. "I shouldn't take my vitamin D pill before the stool sample is collected." B. "I should take a laxative to help me pass my stool." C. "I must avoid drinking milk before collecting the stool sample." D. "Any meat that I eat before I collect my stool sample must be fully cooked."

Correct Answer is D

Explanation

A. "I shouldn't take my vitamin D pill before the stool sample is collected." Vitamin D supplements are unlikely to interfere with the hemoccult test, as they typically do not contain substances that affect the detection of occult blood in the stool. Therefore, this statement does not demonstrate an understanding of factors relevant to the stool sample collection for the hemoccult test.

B. "I should take a laxative to help me pass my stool." Taking a laxative before collecting the stool sample is not recommended, as it can alter the consistency and composition of the stool, potentially affecting the accuracy of the hemoccult test. Laxatives may also cause diarrhea, leading to difficulty in collecting a sufficient sample. Therefore, this statement is incorrect and does not reflect effective teaching regarding stool sample collection for the hemoccult test.

C. "I must avoid drinking milk before collecting the stool sample." While certain dietary restrictions may be necessary for specific diagnostic tests, drinking milk is not typically prohibited before collecting a stool sample for a hemoccult test. Milk consumption is unlikely to interfere with the test results or the detection of occult blood in the stool. Therefore, this statement is not relevant to the hemoccult test and does not demonstrate understanding of appropriate preparation for the test.

D. "Any meat that I eat before I collect my stool sample must be fully cooked." This statement reflects an understanding of food safety and hygiene practices relevant to stool sample collection for the hemoccult test. Fully cooked meat reduces the risk of bacterial contamination in the stool sample, which could interfere with the accuracy of the test results. Therefore, this statement demonstrates effective teaching regarding the importance of food preparation in ensuring accurate test results for the hemoccult test.

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Naxlex Comprehensive Predictor Exams

The nurse assesses a client admitted with a history of vomiting and diarrhea for 5 days. Which laboratory value validates the symptoms of the client?

Correct Answer is A

Explanation

The nurse is teaching a client who will be collecting a stool sample for a hemoccult test. The nurse determines that teaching has been effective when the client states:

Correct Answer is D

Explanation

The nurse must administer an enema to an adult patient with constipation. Which is a safe and effective distance for the nurse to insert the tubing into the patient's rectum? (SELECT ALL THAT APPLY)

The nurse is performing an admission assessment on a client who has chronic pain. Which statement made by the client causes the most concern?

A home care nurse is completing a comprehensive assessment & sees that the client has written "spiritual but no specific religious denomination". How should the nurse interpret this data? The client...

The physician has ordered replacement fluids for a client who has a fluid volume deficit with a diagnosis of gastroenteritis. The nurse would expect the use of which type of fluids initially upon admission?

The nurse is addressing a client's questions after admission to the hospital. What is an accurate description of a living will?

A client, who is on bedrest after surgery, complains of feeling bloated and having continuous oozing of small amounts of liquid stool. The nurse recognizes this as being symptomatic of which condition?

The nurse makes an error while documenting in the client's chart. The nurse should:

The nurse understands that examples of sensible fluid loss in a client are: (SELECT ALL THAT APPLY)