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Which best exemplifies malpractice?

The nurse administers the wrong medication to a client, who then has one episode of vomiting 5 minutes later but no further adverse reactions.

The nurse applies an ice pack to a client's lower back without an order and the client feels better.

The nurse, using proper body mechanics, assists a client into a locked bed. The client slips and breaks a femur.

The nurse administers amoxicillin to a client with known allergies to penicillin. The client has a seizure with resulting respiratory arrest.

Answer and Explanation

The Correct Answer is D

A. While this is an error, it did not result in a serious or lasting harm.
B. This action, though without an order, resulted in a positive outcome.
C. This incident was an accident despite the nurse's proper body mechanics and safety measures.
D. Administering a medication to which the client is known to be allergic, resulting in a seizure and respiratory arrest, constitutes a serious breach of standard care and demonstrates malpractice.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

A. Informing the provider is the correct action, as the provider needs to be aware of the client's decision to withdraw consent.
B. Reminding the client about the signed consent form does not respect their autonomy to change their mind.
C. Discussing alternatives might be helpful later, but the immediate action should be to inform the provider.
D. Explaining the necessity of the procedure may be coercive and does not honor the client's current decision.

A. "Would you tell me about all of your medical issues?" B. "Would it help to discuss your feelings about this hospitalization?" C. "Do you want to talk about your health concerns?" D. "What brought you to the hospital?"

Correct Answer is D

Explanation

A. This question is too broad and might overwhelm the client.
B. This question is focused on feelings, which may not directly lead to health history data.
C. This question is close-ended and may not elicit detailed information.
D. This open-ended question invites the client to share relevant health information and reasons for admission.

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Which best exemplifies malpractice?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client whose informed consent form has been signed in preparation for a procedure. The client states, "I have decided not to have the procedure." Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is preparing to collect health history data during a client's admission. Which of the following questions should the nurse use to promote this discussion?

Correct Answer is D

Explanation

A nurse using the principle-based approach to client care seeks to avoid causing harm to clients in all situations. What is this principle known as?

A charge nurse is making client care assignments. Which of the following tasks should the nurse delegate to assistive personnel (AP)? (Select all that apply.)

A nurse is caring for a client who states, "My doctor was just here, but I still do not understand my diagnosis." The nurse contacts the provider to return to speak with the client. Which of the following principles is the nurse demonstrating?

Which nursing activity reflects secondary prevention?

A nurse is trying to encourage a client with paraplegia who is depressed and not adhering to the treatment program to join a support group. Which statement by the nurse is most appropriate?

A nurse is providing care to a client who is on strict bed rest following surgery. The nurse assists the patient to the bedside commode and the client sustains an injury to the operative area. Which of the following types of torts has the nurse committed?

A nurse is caring for a client who states, "I have got to get out of this hospital! They have found my address and are coming for my family!" The nurse responds, "Don't worry, no one will harm your family." Which of the following types of communication breakdown does this response represent?