The physician has ordered a medication for a patient that is twice the normal dosage of the medication.
If the nurse harms a patient by administering the medication, as ordered by the physician, which is true?

The nurse is not responsible since the nurse was following the doctor's orders.

Only the nurse was responsible since the nurse administered the medication.

Both the nurse and the physician are responsible for the error.

Only the physician is responsible since he or she ordered the drug.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

The nurse is not responsible since the nurse was following the doctor's orders. Rationale: While it is essential for nurses to follow physician orders, they also have a responsibility to assess the appropriateness and safety of those orders. If the nurse administers a medication that is clearly harmful or beyond the normal dosage, they have a duty to question the order and seek clarification from the physician. Administering a medication that is twice the normal dosage without questioning the order would be a breach of the nurse's responsibility.

Choice B rationale:

Only the nurse was responsible since the nurse administered the medication. Rationale: While the nurse did administer the medication, the ultimate responsibility lies with both the nurse and the physician. The nurse should have questioned the order if it appeared to be incorrect or unsafe. Nurses are advocates for their patients and have a duty to ensure the safety and well-being of those under their care.

Choice C rationale:

Both the nurse and the physician are responsible for the error. Rationale: This is the correct choice. Both the nurse and the physician share responsibility for the error. The nurse should have questioned the order, and the physician should have prescribed the correct dosage. Patient safety is a collaborative effort, and both healthcare providers are accountable for ensuring that the patient receives appropriate and safe care.

Choice D rationale:

Only the physician is responsible since he or she ordered the drug. Rationale: While the physician did order the drug, the nurse also has a responsibility to assess the order and question it if necessary. Nurses are trained to use their clinical judgment and critical thinking skills to ensure the safety of their patients. If the nurse administers a medication without questioning a clearly incorrect dosage, they share responsibility for the error.

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Correct Answer is D

Explanation

Choice A rationale:

Placing pillows under the patient's hips and knees before turning is a common practice to maintain proper body alignment during the logrolling procedure. However, it is not the priority step. Placing the pillows is a part of the procedure but does not address the primary concern.

Choice B rationale:

Turning the patient only to the right side and never to the left is incorrect. Patients should be turned gently and carefully to either side, depending on the situation and the patient's condition. Restricting the movement to only one side can cause discomfort and potential injury to the patient.

Choice C rationale:

Raising the head of the bed to at least 30 degrees before turning is a good practice to prevent aspiration and facilitate breathing. However, it is not the priority step when logrolling a patient. Proper body alignment is crucial to prevent musculoskeletal injuries to the patient and the healthcare provider.

Choice D rationale:

The correct answer. Keeping the head, neck, back, hips, and legs in alignment with each other is the nursing priority when logrolling a patient. This technique ensures that the patient's spine is supported and prevents twisting or bending, reducing the risk of injury. Proper body mechanics are essential for both the patient's safety and the healthcare provider's safety during the procedure.

A. The nurse verifies the recipient's fax number before faxing private patient information. B. The nurse documents the patient assessment using objective data. C. The nurse posts the obituary of a patient on social media. D. The nurse discards copies of patient information into the regular trash bin. E. The nurse accesses the nurse's own health record via computer.

Correct Answer is ["C","D"]

Explanation

Choice A rationale:

The nurse verifies the recipient's fax number before faxing private patient information. This action is appropriate and ensures that patient information is sent to the correct recipient, maintaining patient confidentiality and privacy. Verifying recipient information is a standard practice in healthcare settings to prevent data breaches.

Choice B rationale:

The nurse documents the patient assessment using objective data. This action is appropriate and follows evidence-based practice guidelines. Objective data are measurable and observable, providing a clear picture of the patient's condition. Objective documentation enhances communication among healthcare providers and ensures accurate representation of the patient's status.

Choice C rationale:

The nurse posts the obituary of a patient on social media. This action is highly inappropriate and unethical. It breaches patient confidentiality and privacy, violating the Health Insurance Portability and Accountability Act (HIPAA) regulations. Sharing patient information, especially sensitive details like an obituary, on social media platforms is a serious violation of privacy and can lead to legal consequences.

Choice D rationale:

The nurse discards copies of patient information into the regular trash bin. This action is inappropriate and violates patient confidentiality. Proper disposal of patient information is crucial to protect patient privacy and comply with regulations. Patient documents should be shredded or disposed of in designated secure bins to prevent unauthorized access to sensitive information.

Choice E rationale:

The nurse accesses the nurse's own health record via computer. This action is inappropriate unless there is a legitimate reason related to patient care. Accessing one's own health record without a valid purpose is a breach of patient privacy and can lead to disciplinary actions. Healthcare professionals should only access patient records when necessary for providing care and treatment.

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The physician has ordered a medication for a patient that is twice the normal dosage of the medication.If the nurse harms a patient by administering the medication, as ordered by the physician, which is true?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the nursing priority when logrolling a patient?

Correct Answer is D

Explanation

The nurse is working on an inpatient surgical unit.Which action by the nurse would be considered inappropriate? Select all that apply.

Correct Answer is ["C","D"]

Explanation

The nurse is instructing a patient about safety with oxygen in the home setting.What would the nurse include in the instructions?

The nurse asks the patient to dorsiflex and plantarflex both feet against the nurse's hands.What is the nurse assessing in whole, or part, with this action? Select all that apply.

The nurse performs range of motion by moving the patient's leg toward the midline of the patient's body.This movement would be documented as what of the hip?

A newly licensed nurse is obtaining consent for a surgical procedure.Which action by the newly licensed nurse is most appropriate?

What is the nursing priority when logrolling a patient?

The nurse reviews the providers notes that are written in the SOAP format.Which entry represents the "P" portion of the note?

The nurse is educating a patient about the use of a cane due to weakness of the left leg.Which statement by the patient would indicate teaching has been effective?

The physician has ordered a medication for a patient that is twice the normal dosage of the medication.
If the nurse harms a patient by administering the medication, as ordered by the physician, which is true?