During a clinical placement on a subacute, geriatric medicine unit, a student nurse fed a stroke client some beef broth, despite the fact that the client's diet was restricted to thickened fluids. As a result, the client aspirated and developed pneumonia. Which statement underlies the student's potential liability in this situation?

The student and the nursing instructor share liability for this lapse in care.

The client's primary nurse is liable for failing to ensure that delegated care was appropriate.

The same standards of care that apply to a registered nurse apply to the student.

The student's potential liability is likely negated by the insurance carried by the school of nursing.

Answer and Explanation

The Correct Answer is C

A. While instructors may have supervisory responsibility, the primary responsibility lies with the individual providing care.
B. The primary nurse may have a role in supervision, but the student is accountable for following clearly defined dietary orders.
C. The same standards of care that apply to a registered nurse apply to the student when performing tasks within their scope of practice and training. This means students are expected to know and follow proper procedures and orders, including dietary restrictions.
D. Insurance may cover legal costs, but it does not negate liability. The student is still accountable for the outcome of their actions.

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Correct Answer is A

Explanation

A. When a nurse delegates a task to a UAP, the nurse transfers the responsibility to perform the task but retains accountability for the overall outcome and ensuring the task is done correctly.
B. Nurses do have the authority to delegate tasks within the scope of practice and according to facility policies.
C. UAPs cannot function independently for all interventions; their role is limited to delegated tasks that do not require professional nursing judgment.
D. While UAPs are responsible for their actions, accountability ultimately remains with the nurse who delegates the task.

A. "I'll make sure to do these, as long as my doctor doesn't tell me to stay on bed rest after my operation." B. "I'll try to do these lying on my stomach so that I can bend my knees more fully." C. "I'll practice these now and try to start them as soon as I can after my surgery." D. "I'm pretty sure my stomach muscles are strong enough to lift both of my legs off the bed at the same time."

Correct Answer is C

Explanation

A. Bed rest orders may limit activity, but leg exercises are usually encouraged as soon as possible to prevent venous stasis unless contraindicated by the doctor.
B. Performing leg exercises lying on the stomach is less common and may be uncomfortable or contraindicated depending on the surgery.
C. Starting leg exercises before and immediately after surgery promotes circulation and helps prevent venous stasis and deep vein thrombosis.
D. Lifting both legs off the bed at once is a strenuous activity not typically recommended for preventing venous stasis and may not be safe postoperatively.

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Naxlex Comprehensive Predictor Exams

A nurse delegates a specific intervention to the unlicensed assistive personnel (UAP). What implications does this have for the nurse?

Correct Answer is A

Explanation

In order to prevent the possibility of venous stasis, a nurse is educating a surgical client on how to perform leg exercises. Which statement by the client indicates a sound understanding of leg exercises?

Correct Answer is C

Explanation

The home health nurse is caring for an older adult client living alone at home who is incontinent of urine and changes the adult diaper (pad) daily. The nurse plans care based on which nursing concern?

The nurse should utilize ISBARR communication (Introduction, Situation, Background, Assessment, Recommendation, Read Back) during which clinical situation?

A client has had a breast removed to treat cancer. What type of loss will the client likely experience?

The nurse is completing a sterile dressing change on a confused client. During the procedure, the client reaches down and touches the contents of the open dressing kit. What is the nurse's next action?

Which misconception is common in clients in pain?

Which client is most at risk for foot difficulties?

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The nurse is documenting an assessment that was completed at 9:30 p.m. The facility uses military time for documentation. What entry should the nurse make for the time care was given?