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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
Choice A: Cream is not allowed on a clear liquid diet because it contains fat and protein, which make it opaque.
Choice B:While plain gelatin is allowed, applesauce is not because it is a puréed/semi-solid food, not a clear liquid.
Choice C:Clear fruit juices without pulp (such as apple juice, cranberry juice, and white grape juice) are permitted.
Choice D:Broth or bouillon is considered a clear liquid, as long as it does not contain solid particles.
Choice E:Tea is a clear liquid, and sugar does not change its clarity.
Choice F:Ice pops made from clear liquids (such as fruit juice without pulp) are permitted.
Correct Answer is ["A","C","E"]
Explanation
a. Presence of exudate: The presence and amount of exudate can indicate the severity of the infection and the effectiveness of treatment.
c. Approximation of edges: This refers to how well the edges of the wound are coming together and healing, which is important in evaluating the progress of healing.
e. Color of wound bed: The color of the wound bed can also indicate the severity of infection and the effectiveness of treatment.
Therefore, the correct answers are a, c, and e.
The number of sutures and the time of the last antibiotic are important information for the nurse to know, but they do not need to be included in the documentation of the wound assessment and dressing change.

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