A nurse manager is providing an in-service on legal responsibilities for newly licensed nurses. Which of the following should the nurse manager include as an example of professional negligence?
Discussing a client's diagnosis with a nurse from a different unit
Giving an IM medication after the client refuses it
Refusing to allow a client to leave the facility without a provider's order
Administering a stat medication 2 hr after the medication is prescribed
The Correct Answer is D
Rationale:
A. Discussing a client's diagnosis with a nurse from a different unit: This represents a breach of client confidentiality and a violation of HIPAA regulations, but it is categorized as a violation of privacy laws rather than professional negligence.
B. Giving an IM medication after the client refuses it: Administering medication against a client's will is assault and battery, a legal and ethical violation of the right to refuse treatment, not negligence related to performance or delay in care.
C. Refusing to allow a client to leave the facility without a provider's order: This could constitute false imprisonment, especially if the client is mentally competent. It is a legal and ethical issue rather than professional negligence.
D. Administering a stat medication 2 hr after the medication is prescribed: Delaying a stat medication can result in harm and is an example of professional negligence. It reflects a failure to provide timely care according to accepted nursing standards.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Potassium 5.4 mEq/L: Following a severe burn, damaged cells release intracellular potassium into the bloodstream, leading to hyperkalemia. This elevated level is expected in the early stages post-injury, especially during the initial fluid shift and tissue destruction phase.
B. Hct 45%: Although within the normal range, hematocrit levels typically increase during dehydration due to hemoconcentration. In burn clients, Hct often rises above 50% initially due to plasma loss, so a value of 45% may not reflect the expected trend.
C. Hgb 15 g/dL: Hemoglobin may also rise due to hemoconcentration in dehydration, but a value of 15 g/dL is within normal limits and may not indicate the acute fluid shift typically seen in early burn responses.
D. Sodium 143 mEq/L: Sodium levels may initially appear normal or low in burn injuries due to fluid shifts and losses through damaged skin. A level of 143 mEq/L is normal and doesn’t specifically reflect the fluid shifts or dehydration phase after burns.
Correct Answer is A
Explanation
Rationale:
A. Decreased oxygen saturation: Disseminated intravascular coagulation (DIC) leads to widespread clotting and subsequent bleeding, impairing oxygen delivery to tissues. Microthrombi can block pulmonary vessels, reducing gas exchange and causing hypoxia.
B. Hypertension: DIC is typically associated with hypotension due to systemic inflammation, blood loss, and poor perfusion, not hypertension. Shock states in sepsis and DIC often cause a drop in blood pressure.
C. Bradycardia: Clients with sepsis and DIC are more likely to develop tachycardia in response to hypotension and poor oxygenation. Bradycardia is not characteristic of DIC and may indicate a different or late-stage complication.
D. Increased urine output: DIC often results in decreased urine output due to renal hypoperfusion and possible acute kidney injury. Increased output would be atypical in a client with progressing DIC.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.