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In which situation is the nurse determined to be negligent?

The nurse provides written and verbal instructions prior to discharge. When at home the client began to take the wrong medication.

The nurse hangs a new bag of IV ﬂuids 1 hour early and does not count what is remaining in the bag on the ﬂuid record.

The nurse gives medication to another nurse to give to a client and the wrong client receives the medication and becomes ill.

A client becomes confused and combative and pulls out the IV. The nurse calls the health care provider to change the behavior.

Answer and Explanation

The Correct Answer is C

Negligence is a failure to act in a reasonable and prudent manner that results in harm or injury to another person. In option c), the nurse did not exercise reasonable care in ensuring that the medication was given to the correct patient, which resulted in harm to the wrong patient.

The other options (a, b, and d) do not involve a failure to act in a reasonable and prudent manner that caused harm or injury to the client. In option a), the nurse provided written and verbal instructions, but the client did not follow them, which is beyond the nurse's control.

In option b), the nurse made an error in documenting the ﬂuid count, which is a documentation error, not negligence. In option d), the nurse acted appropriately by calling the healthcare provider to change the client's behavior, and the situation does not involve negligence.

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Correct Answer is A

Explanation

Assault is an intentional act that causes another person to be in fear of immediate harm ¹. In this case, the caregiver's threat to restrain the uncle if he doesn't calm down can be considered an assault because it puts the uncle in fear of immediate harm.

The battery is defined as an intentional oﬀensive or harmful touching of another person that is done without his or her consent ³. Malpractice refers to professional negligence by a healthcare provider that causes injury or harm to a patient. Negligence refers to a failure to exercise reasonable care that results in harm to another person. In this scenario, there is no evidence of batery, malpractice, or negligence.

A. Advances catheter 2-3 inches (5 to 7.6 cm). B. Applies suction intermittently for 20 seconds. C. Moistens catheter prior to insertion. D. Uses non-dominant hand to manipulate catheter.

Correct Answer is C

Explanation

When suctioning a client's nasopharyngeal airway, the nurse should moisten the catheter with sterile saline or water-soluble lubricant prior to insertion. This helps to decrease discomfort and trauma to the client's nasal mucosa.

Advancing the catheter 2-3 inches (5 to 7.6 cm) (a) is not correct because it can cause injury to the client's airway or trachea. The catheter should only be inserted to a distance equal to the distance from the nose to the earlobe (about 6 to 8 inches or 15 to 20 cm).

Applying suction intermittently for 20 seconds (b) is not correct because it can cause hypoxia and trauma to the client's airway. The suction should be applied continuously while withdrawing the catheter, for no more than 10 seconds.

Using the non-dominant hand to manipulate the catheter (d) is not correct because it can cause the catheter to become contaminated with the nurse's non-sterile hand. The dominant hand should be used to manipulate the catheter while maintaining sterile technique.

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In which situation is the nurse determined to be negligent?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A family member tells the nurse, "I overheard a caregiver threaten my uncle." The family member said the caregiver remarked, "If you don't learn to calm down, I will have to restrain you." Based on this information, which criminal oﬀense does the nurse communicate to the nurse manager?

Correct Answer is A

Explanation

The nurse provides care for a client diagnosed with pneumonia. The client is unable to expectorate respiratory secretions. The nurse suctions the client's nasopharyngeal airway. When is suctioning technique correct?

Correct Answer is C

Explanation

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In which situation is the nurse determined to be negligent?

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