A nurse accidentally administers the wrong medication to a client, which results in a severe allergic reaction and prolongs the client's hospitalization. The client could rightfully sue the nurse for which of the following?

Battery

Malpractice

Abuse

Assault

Answer and Explanation

The Correct Answer is B

A.   Battery refers to the intentional and unlawful physical contact with another person without their consent. In this scenario, the nurse did not intend to harm the patient; the action was accidental. Therefore, battery would not apply here.
B.   Malpractice is a type of negligence that occurs when a healthcare professional fails to provide the standard of care that a reasonably competent nurse would provide in similar circumstances. Administering the wrong medication is a breach of duty, and if this mistake leads to harm (like an allergic reaction), the nurse can be held liable for malpractice.
C.   Abuse generally refers to intentional harm or mistreatment of a patient, often involving physical or emotional harm. Since the nurse's actions were accidental and not intended to cause harm, this would not constitute abuse.
D.   Assault involves the threat or attempt to cause physical harm to another person, creating a fear of imminent harm. Since the nurse did not intend to threaten or harm the patient, and the incident was not a threat, this does not fit the definition of assault.

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Correct Answer is D

Explanation

A. While it’s important to consider the comfort and competency of the LPNs, this approach alone does not ensure that the tasks delegated are within their legal scope of practice. It’s essential for the RN to also verify that the tasks align with the LPN’s training and legal scope of practice.
B. LPNs have a different scope of practice compared to nursing assistive personnel (NAP). They are trained to perform more complex tasks and provide a higher level of care than NAPs. Delegating the same tasks would not take advantage of the LPN's training and could lead to issues related to patient safety and quality of care.
C. While consulting a decision tree can be a useful tool for delegating tasks to NAPs, it does not apply to LPNs. LPNs have a different scope of practice and require a different framework for delegation, as they can perform nursing tasks that are not within the NAP scope.
D. This is the most appropriate action for the RN. Understanding the legal scope of practice for LPNs in their specific jurisdiction is crucial for safe and effective delegation. It ensures that the RN delegates tasks that LPNs are qualified to perform, thereby promoting patient safety and adhering to legal standards.

A. "Monitor your child's temperature daily." B. "Offer fluids to your child multiple times every day." C. "Restrict outdoor play activity to 1 hour per day." D. "Apply cold compresses when your child expresses pain."

Correct Answer is B

Explanation

A. Monitoring temperature is also important, but it does not directly prevent a crisis.
B. Hydration is critical for children with sickle cell anemia, as it helps prevent sickle cell crises by promoting adequate blood flow and reducing blood viscosity. Encouraging frequent fluid intake is essential in managing the condition.
C. While it's important to monitor activity levels, outright restriction may not be necessary. Instead, children with sickle cell anemia should be encouraged to engage in age-appropriate activities while avoiding extreme temperatures and strenuous activities that could trigger a crisis. Balanced activity is essential for overall health and development.
D. Cold compresses are not typically recommended for managing pain during a sickle cell crisis. Instead, warmth is often preferred because it helps to relax muscles and improve blood flow. Cold can potentially exacerbate vasoconstriction, which is not beneficial for a child experiencing pain due to sickle cell disease.

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A nurse accidentally administers the wrong medication to a client, which results in a severe allergic reaction and prolongs the client's hospitalization. The client could rightfully sue the nurse for which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A registered nurse has been leading teams of nursing assistive personnel (NAP) for several years and will soon be leading licensed practical nurses (LPNs) for the first time. In preparation for delegating to these nurses, the RN should:

Correct Answer is D

Explanation

A nurse is discharging a child who has sickle cell anemia after an acute crisis episode. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is admitting a client who has sickle cell anemia. Which of the following manifestations should the nurse expect with this condition?(Select All that Apply.)

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