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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

Total parenteral nutrition (TPN) is a form of nutrition that is administered intravenously when a client is unable to eat or absorb nutrients orally or enterally. TPN solutions contain a high concentration of glucose, which provides the body with energy. Therefore, the nurse must closely monitor the client's glucose levels, as TPN can cause hyperglycemia (high blood sugar levels).

Frequent monitoring of blood glucose levels is necessary to ensure that the client's blood sugar stays within an acceptable range. Hyperglycemia can lead to a variety of complications, including dehydration, electrolyte imbalances, and damage to organs such as the kidneys and eyes. If the client's blood glucose levels are consistently high, adjustments to the TPN solution may be necessary, or insulin may need to be administered to help regulate blood sugar levels.

Therefore, glucose is the laboratory result that the nurse must closely monitor when a client is receiving TPN via a central venous access device (CVAD).

A. Stand at the head of the bed and feed the client. B. Place a bib around the client's neck to protect clothing. C. Reschedule procedures to avoid interfering with meals. D. Instruct the client to complete one food container at a time.

Correct Answer is C

Explanation

This action can help enhance the client's nutritional intake by ensuring that the client has enough time to eat without interruptions. It is important for the nurse to prioritize the client's mealtimes and make sure that they are not disrupted by other procedures or activities.

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In which situation is the nurse determined to be negligent?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse provides care for a client who is severely malnourished. A central venous access device (CVAD) is placed to administer total parenteral nutrition (TPN). Which laboratory result does the nurse closely monitor?

Correct Answer is A

Explanation

The nurse provides care for a client with a poor appetite. Which action does the nurse take to enhance the client's nutritional intake?

Correct Answer is C

Explanation

The nurse provides care for a patient with an infected surgical wound. The nurse assesses the wound and changes the dressing. Which does the nurse include in the documentation? Select all that apply.

The nurse provides care for a child with an abdominal wound. The wound edges are approximated. Which does the nurse include when rendering the prescribed wound care to this child? (Select all that apply)

The nurse delegated vital signs for a group of patients to the unlicensed assistive personnel (UAP). Which client condition would prohibit having a rectal temperature taken by the UAP?

An infant client has a tracheostomy. The nurse prepares to suction the tracheostomy. Which most important principle does the nurse use to plan care?

The nurse evaluates a client's plan of care. The client has an outcome of 'Client will learn self-glucose testing before discharge'. When evidence best allows the nurse to meet the outcome of the plan?