A nurse is caring for a client who reports acute pain but refuses IM medication. The nurse distracts the client and quickly administers the injection. This illustrates which of the following?

Battery

False imprisonment

Assault

Libel

Answer and Explanation

The Correct Answer is A

A.   Battery involves unauthorized or harmful physical contact, which administering the injection without consent would constitute.
B.   False imprisonment involves restricting a person's freedom of movement unlawfully, which doesn't apply in this scenario.
C.   Assault involves the threat of unwanted or harmful contact.
D.   Libel refers to written defamation or false statements that damage someone's reputation, which is not relevant in this situation involving administering medication.

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Correct Answer is B

Explanation

A. A client ready for discharge, if stable and prepared for discharge, does not require immediate assessment.
B. Restlessness in a client with Alzheimer's and bacterial pneumonia could indicate a change in condition, potentially signaling an urgent issue that needs immediate assessment.
C. While pain management is important, the sudden onset of restlessness in a client with cognitive impairment and pneumonia takes priority.
D. An elevated fasting blood glucose level in a newly admitted diabetic client requires attention but might not be as immediately critical as the acute change in behavior seen in option B.

A. A newly admitted client who has diabetes mellitus and requires initial teaching on self- administration of insulin B. A client who is scheduled for an endoscopy later today and requires an enema C. A newly admitted client who has sickle cell anemia and requires the development of an initial plan of care D. A client who had a myocardial infarction and will be transferring to the unit from the CCU.

Correct Answer is B

Explanation

- A: This client requires initial teaching, which is typically the responsibility of a registered nurse due to the educational aspect and the need to assess the client's understanding.
- B: Administering an enema is a task that falls within the scope of practice for a licensed practical nurse and does not require the advanced assessment skills of a registered nurse.
- C: Developing an initial plan of care involves comprehensive assessment and critical thinking, which are responsibilities of a registered nurse.
- D: A client transferring from the CCU after a myocardial infarction would require close monitoring and assessment, which are beyond the scope of practice for a licensed practical nurse.

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A nurse is caring for a client who reports acute pain but refuses IM medication. The nurse distracts the client and quickly administers the injection. This illustrates which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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