The nurse caring for clients recognizes that there are several areas of potential liability in nursing practice. These include: (SELECT ALL THAT APPLY)
transferring a client to ICU without giving report.
completing the admission assessment.
documenting vital signs taken by another nurse.
calling the physician to request an order for pain medication for the client.
using an IV pump with a frayed cord.
Correct Answer : A,C,E
A. This action could pose a significant liability risk as it violates the standard of care, which includes providing thorough and accurate handoff communication to ensure continuity of care. Failing to provide a report before transferring a client to ICU could lead to miscommunication, errors in treatment, and compromised patient safety.
C. Documenting vital signs taken by another nurse is generally acceptable as long as the nurse ensures the accuracy of the information and documents according to institutional policies and standards. However, if the nurse knowingly documents false or inaccurate vital signs, it could pose a liability risk.
E. Using equipment with a frayed cord poses a significant liability risk as it could lead to electrical hazards, equipment malfunction, or patient injury. Nurses have a duty to ensure the safety and integrity of equipment used in patient care and should promptly report any defects or safety concerns to prevent harm to patients.
B. Completing the admission assessment is a standard nursing responsibility and is not inherently a liability risk. However, liability could arise if the assessment is incomplete, inaccurate, or not documented appropriately, leading to errors in care or failure to identify and address the client's needs
D. Calling the physician to request an order for pain medication is a routine nursing responsibility and is not inherently a liability risk. However, liability could arise if the nurse fails to communicate important information about the client's condition or medication history, resulting in inappropriate or unsafe prescribing practices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. In metabolic acidosis, the pH would be low (acidemic) and the HCO3 level would be below the normal range. In the provided ABG results, the pH is low (acidemic) and the HCO3 level is below the normal range, indicating metabolic acidosis.
A. In respiratory alkalosis, the pH would be elevated (alkalotic) and the PaCO2 would be below the normal range (hypocapnia). However, in the provided ABG results, the pH is low (acidemia) rather than high, ruling out respiratory alkalosis.
B. In respiratory acidosis, the pH would be low (acidemic) and the PaCO2 would be above the normal range (hypercapnia). However, in the provided ABG results, the PaCO2 is within the normal range, ruling out respiratory acidosis.
C. In metabolic alkalosis, the pH would be elevated (alkalotic) and the HCO3 level would be above the normal range. However, in the provided ABG results, the pH is low (acidemic) and the HCO3 level is below the normal range, ruling out metabolic alkalosis.
Correct Answer is A
Explanation
A. "STAT" stands for "immediately" or "at once" in medical terminology. When a medication order is marked as STAT, it means that the medication should be administered as soon as possible, without delay. This abbreviation is used for urgent situations where the medication needs to be given promptly.
B. "PRN" stands for "pro re nata," which translates to "as needed" in Latin. When a medication order is marked as PRN, it means that the medication should be administered as required based on the patient's needs or symptoms. The timing of administration is not fixed but depends on specific conditions or situations, such as pain or nausea.
C. "TID" stands for "ter in die," which translates to "three times a day" in Latin. When a medication order is marked as TID, it means that the medication should be administered three times daily, at regular intervals throughout the day.
D. "QID" stands for "quater in die," which translates to "four times a day" in Latin. When a medication order is marked as QID, it means that the medication should be administered four times daily, at regular intervals throughout the day.
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