A nurse's inadvertent medication error results in a severe allergic reaction and prolongs the client's hospitalization. The client could rightfully sue the nurse for which of the following?

Abuse

Battery

Assault

Malpractice

Answer and Explanation

The Correct Answer is D

A. Abuse:

Abuse typically involves intentional harm or mistreatment of another person. In this scenario, the nurse's error was inadvertent, not intentional, so it does not constitute abuse.

B. Battery:

Battery involves intentional harmful or offensive contact with another person without their consent. The inadvertent medication error in this scenario does not involve intentional contact or harm, so it does not constitute battery.

C. Assault:

Assault involves intentionally threatening or causing fear of immediate harm or offensive contact with another person. The inadvertent medication error, while resulting in harm, was not intentional or intended to cause fear, so it does not constitute assault.

D. Malpractice:

Malpractice refers to professional negligence or failure to adhere to the standard of care expected in one's professional duties, resulting in harm to a patient. In this scenario, the nurse's inadvertent medication error constitutes malpractice because it involved a breach of the standard of care expected in medication administration, resulting in harm to the client.

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Free Nursing Study Resources

Correct Answer is A

Explanation

(A) Place the client in high-Fowler’s position and encourage the use of incentive spirometer and coughing: This is the most appropriate action. The high-Fowler’s position can help improve lung expansion and gas exchange, while the use of an incentive spirometer and coughing can help clear secretions and improve ventilation. This is particularly important for a client who is postoperative following an open thoracotomy.

(B) Switch oxygen to a nonrebreather mask: Switching to a nonrebreather mask may deliver a higher concentration of oxygen, but it does not address the underlying issue of impaired gas exchange due to decreased lung expansion and retained secretions.

(C) Position the client prone and have the respiratory therapist perform postural drainage: While postural drainage can help clear secretions, it may not be comfortable or safe for a client who is 1 day postoperative following an open thoracotomy.

(D) Increase oxygen to 70%: Increasing the oxygen concentration may improve the client’s oxygen saturation, but it does not address the underlying issue of impaired gas exchange due to decreased lung expansion and retained secretions. Furthermore, excessively high concentrations of oxygen can have harmful effects, such as oxygen toxicity or suppression of the respiratory drive in some clients.

Correct Answer is ["50"]

Explanation

Let's calculate the rate for the IV infusion.

We are given:

Volume to be infused: 400 mL

Infusion time: 8 hours

Drop factor: 60 gtt/mL

We need to find the rate in gtt/min.

Here's how we can do it:

Convert hours to minutes: Since the rate is required in minutes, we need to convert the infusion time from hours to minutes. There are 60 minutes in 1 hour. Therefore, total infusion time in minutes = 8 hours x 60 minutes/hour = 480 minutes

Calculate total number of drips: We can find the total number of drips to be delivered by multiplying the volume (in mL) by the drop factor (gtt/mL). Total drips = Volume (mL) x Drop factor (gtt/mL) = 400 mL x 60 gtt/mL = 24000 gtt

Calculate drip rate (gtt/min): Finally, we can calculate the rate by dividing the total number of drips by the total infusion time in minutes. Rate (gtt/min) = Total drips (gtt) / Total time (minutes) = 24000 gtt / 480 minutes = 50 gtt/min

Therefore, the nurse should set the manual IV infusion to deliver approximately 50 gtt/min.

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A nurse's inadvertent medication error results in a severe allergic reaction and prolongs the client's hospitalization. The client could rightfully sue the nurse for which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

Correct Answer is ["50"]

Explanation

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