The nurse should recognize that floating to the adult medical-surgical unit has placed them at legal risk for:
Leaving their assignment on the pediatric unit before completing their duties.
Being assigned equipment they have not been validated on.
Refusing to take the assignment in the neonatal intensive care unit.
Performing procedures outside their scope of practice.
The Correct Answer is B
Choice A rationale
Assignment abandonment involves leaving patients without care, which isn’t the nurse’s action here. The nurse stayed responsible and notified the charge nurse about equipment unfamiliarity to maintain ethical and safe practice standards.
Choice B rationale
Legal risks arise when a nurse uses medical equipment without validation, breaching competency and risking harm. Standards by regulatory bodies like the Joint Commission highlight the need for appropriate training, ensuring safe, error-free patient care.
Choice C rationale
Refusal of neonatal assignments does not connect to the case's circumstances. The legal concerns stem from equipment unfamiliarity, not from declining to work in specific units, which falls under staffing policies rather than individual liability.
Choice D rationale
Scope-of-practice violations occur when nurses exceed their authorized duties, but this doesn’t apply. The central issue involves patient safety risks due to equipment use beyond competence, aligning more closely with training and validation requirements.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Soft-serve ice cream contains dairy and sugar, which can worsen nausea for chemotherapy patients. Its high fat content may also contribute to gastrointestinal discomfort, making it an unsuitable food choice for managing nausea.
Choice B rationale
Hot tea, especially caffeinated varieties, may irritate the gastrointestinal lining and exacerbate nausea. While herbal teas could be soothing, this option does not explicitly align with the dietary recommendations for nausea management.
Choice C rationale
String cheese offers a protein-rich, low-fat option that is easy on the stomach and unlikely to exacerbate nausea. It aligns with dietary recommendations for managing chemotherapy-induced symptoms due to its mild taste and nutritional benefits.
Choice D rationale
Raisin toast contains fiber, which can be challenging to digest during nausea episodes, potentially worsening symptoms. Its texture and sweetness may also increase the risk of gastrointestinal upset, making it less suitable than other options. .
Correct Answer is B
Explanation
Choice A rationale
Reporting the incident to the charge nurse is important for managerial awareness but not the immediate priority to secure the client’s health information. Addressing data security should precede reporting to ensure confidentiality is maintained swiftly, minimizing risks of breach or misuse.
Choice B rationale
Logging out the previous user immediately secures the unattended screen and protects client data from unauthorized access. This action directly eliminates the risk of information exposure, aligning with HIPAA regulations to safeguard privacy as the nurse’s first responsibility.
Choice C rationale
Completing an incident report documents the breach for accountability but does not address the immediate issue of exposed client data. While necessary for administrative purposes, it must follow direct actions to secure the health information promptly.
Choice D rationale
Conducting an in-service on confidentiality supports education but fails to resolve the immediate issue. This preventive measure should be considered after mitigating the risk to client data, emphasizing proactive rather than reactive measures.
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