A nurse is evaluating a group of nurses and assistive personnel (AP) on a medical surgical unit. Which of the following findings should the nurse plan to report to the charge nurse as a possible indication of nursing malpractice?

An AP often requests additional assistance with client transfers.

A nurse requests a change in the client care shift assignment.

A nurse requests to perform the narcotic count on each assigned shift.

An AP often requests that a nurse recheck clients' blood pressures.

Answer and Explanation

The Correct Answer is C

Rationale:

A. An AP often requests additional assistance with client transfers: This reflects safe practice and an understanding of body mechanics and client safety. Requesting help reduces the risk of injury to both staff and clients and should be encouraged.

B. A nurse requests a change in the client care shift assignment: Requesting a shift change may stem from personal or clinical reasons and is not inherently concerning. It does not indicate unsafe or unethical behavior and is part of normal workplace dynamics.

C. A nurse requests to perform the narcotic count on each assigned shift: Consistently requesting to perform narcotic counts without rotation may raise concerns about potential drug diversion. This behavior could be a red flag and warrants further investigation for possible nursing malpractice.

D. An AP often requests that a nurse recheck clients' blood pressures: This demonstrates appropriate delegation and accountability. APs are expected to consult nurses when unsure about clinical findings, ensuring accuracy and client safety.

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Correct Answer is D

Explanation

Rationale:

A. Create resources for the program on the use of the pump: Creating resources is an essential step, but it should occur after clearly defining the learning objectives. Resources must align with what learners are expected to know or do after the training, which cannot be determined without objectives.

B. Implement a teaching plan about the use of the new pump: Implementation should come after the planning phase is complete. Teaching cannot be effectively carried out without first setting learning goals, creating materials, and ensuring the content is structured and relevant.

C. Observe the staff to determine correct use of the pump: Observation of staff performance is part of the evaluation process or needs assessment. However, in this case, the nurse is developing a training program, and the first logical step is to establish clear educational goals.

D. Develop learning objectives for use of the new pump: Learning objectives form the foundation of any educational program. They guide the content, teaching strategies, and evaluation methods. Setting these objectives first ensures that all subsequent steps are aligned and purposeful.

A. Nonurgent B. Expectant C. Urgent D. Emergent

Correct Answer is C

Explanation

Rationale:

A. Nonurgent: This tag is used for clients with minor injuries that do not require immediate medical attention, such as small lacerations or sprains. A tibial fracture with exposed bone is more severe and requires faster intervention to prevent complications.

B. Expectant: The expectant tag is reserved for clients with injuries so severe that survival is unlikely even with immediate care. These clients receive comfort measures but not life-saving interventions. A tibial fracture does not meet this criterion.

C. Urgent: An open tibial fracture is classified as urgent because it poses a high risk of infection and significant blood loss. Although not immediately life-threatening, the injury requires timely surgical intervention to preserve function and prevent complications.

D. Emergent: Emergent tags are used for life-threatening injuries that require immediate intervention to save life or limb, such as airway obstruction or massive hemorrhage. While serious, an open tibial fracture does not threaten life in the immediate sense.

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A nurse is evaluating a group of nurses and assistive personnel (AP) on a medical surgical unit. Which of the following findings should the nurse plan to report to the charge nurse as a possible indication of nursing malpractice?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse working in the role of the staff development coordinator is developing a training program for a group of nurses about the use of a new IV pump. Which of the following steps should the nurse take first?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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