A nurse is assisting with the development of an in-service about legal issues for a group of newly licensed nurses. The nurse should recommend including which of the following actions as an example when discussing negligence?
Threatening to insert an NG tube for a client who is refusing to eat and is 5 days postoperative following abdominal surgery
Discussing a client who has decided to undergo an experimental medical treatment by name in a public area of the facility
Refusing to allow a client who was admitted to the emergency department with an elevated blood alcohol level to call their family
Failing to lower a client's bed to the lowest position resulting in the client breaking their hip when trying to get out of bed
The Correct Answer is D
A. Threatening to insert an NG tube
This is assault, not negligence.
B. Discussing a client in public
This is a breach of confidentiality, a violation of HIPAA-not negligence.
C. Refusing to allow a client to call family
This violates client rights, potentially false imprisonment-not negligence.
D. Failing to lower a client's bed to the lowest position resulting in the client breaking their hip when trying to get out of bed
Negligence is a failure to act in a reasonably prudent way, resulting in harm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "I've lost 3 pounds in the last week.":
This is an expected effect of diuresis, indicating fluid loss and effectiveness of the drug.
B. "I suck on hard candy for my dry mouth.":
Dry mouth is a known side effect of diuretics; sucking candy is an appropriate remedy.
C. "I'm urinating in larger amounts.":
This is an expected outcome of furosemide, a loop diuretic.
D. "I have to sleep sitting up.":
This suggests orthopnea, a symptom of worsening heart failure, which requires provider notification.
Correct Answer is C
Explanation
A. An HbA1c value greater than 8% indicates diabetic control of blood sugar.
>8% suggests poor control. Ideal is <7% for most adults.
B. The HbA1c value is altered by eating habits the day before the test.
HbA1c is not affected by recent food intake-it reflects long-term glucose trends.
C. The HbA1c value determines long-term blood glucose control for the past 120 days.
HbA1c reflects average glucose levels over ~3 months and helps assess long-term control.
D. An HbA1c test is performed once per year.
For patients with diabetes, it's typically performed every 3–6 months.
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