A family member tells the nurse, "I overheard a caregiver threaten my uncle." The family member said the caregiver remarked, "If you don't learn to calm down, I will have to restrain you." Based on this information, which criminal oﬀense does the nurse communicate to the nurse manager?

Assault

Battery

Malpractice

Negligence

Answer and Explanation

The Correct Answer is A

Assault is an intentional act that causes another person to be in fear of immediate harm ¹. In this case, the caregiver's threat to restrain the uncle if he doesn't calm down can be considered an assault because it puts the uncle in fear of immediate harm.

The battery is defined as an intentional oﬀensive or harmful touching of another person that is done without his or her consent ³. Malpractice refers to professional negligence by a healthcare provider that causes injury or harm to a patient. Negligence refers to a failure to exercise reasonable care that results in harm to another person. In this scenario, there is no evidence of batery, malpractice, or negligence.

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Correct Answer is C

Explanation

An incentive spirometer is used to help improve lung function by encouraging deep breathing. The user should inhale through the mouthpiece, not through the nose. This observation indicates that additional teaching is required.

A. BP increased from 112/68 mm Hg to 122/80 mm Hg. B. Serum sodium decreased from 146 mEq/L (146 mmol/L) to 138 mEq/L (138 mmol/L). C. Serum potassium increased from 5 mEq/L (5 mmol/L) to 5.4 mEq/L (5.4 mmol/L). D. Urine output averaging 18 mL/hour. E. Bowel sounds in all four quadrants. F. Urine output averaging 45 mL/hour.

Correct Answer is ["A","C","F"]

Explanation

An increase in blood pressure (BP) from 112/68 mm Hg to 122/80 mm Hg indicates an improvement in hemodynamic status, as it shows that the client's blood vessels are constricting to maintain BP and tissue perfusion. f) An increase in urine output from 18 mL/hour to 45 mL/hour indicates an improvement in renal function and ﬂuid balance, which is important for maintaining hemodynamic stability. c) An increase in serum potassium level from 5 mEq/L (5 mmol/L) to 5.4 mEq/L (5.4 mmol/L) indicates an improvement in electrolyte balance, which is important for maintaining proper cardiac function and hemodynamic stability.

Option b) Serum sodium decreased from 146 mEq/L (146 mmol/L) to 138 mEq/L (138 mmol/L) is not a finding that indicates improvement in hemodynamic status. Hyponatremia or low serum sodium levels can cause ﬂuid shifts in the body leading to altered mental status, seizures, and cerebral edema, among other complications. However, the given information does not suggest that the client has hyponatremia or that their hyponatremia has improved.

Option d) Urine output averaging 18 mL/hour is not an improvement, and it may indicate renal insufficiency or failure, which can lead to ﬂuid overload and hemodynamic instability.

Option e) Bowel sounds in all four quadrants indicate normal bowel motility, which is important for proper digestion and absorption of nutrients but does not directly indicate an improvement in hemodynamic status.

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A family member tells the nurse, "I overheard a caregiver threaten my uncle." The family member said the caregiver remarked, "If you don't learn to calm down, I will have to restrain you." Based on this information, which criminal oﬀense does the nurse communicate to the nurse manager?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse instructs the client on the use of an incentive spirometer. Which observation indicates to the nurse that additional teaching is required?

Correct Answer is C

Explanation

Correct Answer is ["A","C","F"]

Explanation

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