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A nurse is teaching a class on torts. The nurse should include which of the following situations as an example of negligence?

A client who is alert and oriented makes an informed decision to leave the hospital against medical advice. The nurse applies restraints to the client to prevent him from leaving.

A nurse identifies the absence of peripheral pulsation in a casted extremity in the early morning and reports it to the provider in the early afternoon.

A client who is competent refuses an antidepressant medication. The nurse dissolves the medication in food and administers it to her without her knowledge.

A nurse finds a client who is on a low-sodium diet eating salted potato chips. The nurse tells the client that she will apply wrist restraints if he does not stop eating the potato chips.

Answer and Explanation

The Correct Answer is C

Rationale:

A. A client who is alert and oriented makes an informed decision to leave the hospital against medical advice. The nurse applies restraints to the client to prevent him from leaving constitutes a violation of patient autonomy and could be considered false imprisonment rather than negligence.

B. A nurse identifies the absence of peripheral pulsation in a casted extremity in the early morning and reports it to the provider in the early afternoon might be considered a delay in care but does not necessarily meet the criteria for negligence unless it leads to harm.

C. A client who is competent refuses an antidepressant medication. The nurse dissolves the medication in food and administers it to her without her knowledge is an example of negligence as it violates the client’s autonomy and informed consent.

D. A nurse finds a client who is on a low-sodium diet eating salted potato chips. The nurse tells the client that she will apply wrist restraints if he does not stop eating the potato chips is inappropriate but does not specifically represent negligence; it’s more about improper behavior or coercion.

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Correct Answer is D

Explanation

Rationale:

A. A red rash is concerning but not typically an immediate life-threatening condition compared to other options.

B. Severe flank pain may indicate a serious condition but is not as immediately critical as a life-threatening injury.

C. Multiple fractures can be serious but are generally less urgent compared to critical injuries involving major arteries.

D. A punctured femoral artery is a life-threatening emergency requiring immediate intervention to prevent massive blood loss and ensure survival.

A. A middle adult male who is diaphoretic and reports epigastric pain B. A toddler who has a laceration on his forehead and is screaming C. An adolescent female client who is belligerent and has slurred speech D. A young adult with a painful sunburn of his face and arms

Correct Answer is A

Explanation

Rationale:

A. Diaphoretic with epigastric pain could be indicative of a myocardial infarction or other severe condition and requires immediate attention.

B. A toddler with a laceration and distress needs care but is not as urgent as potential cardiac issues.

C. An adolescent with slurred speech and belligerence could indicate a neurological issue, but is less immediate than a potential cardiac event.

D. A young adult with a sunburn is painful but not life-threatening compared to other scenarios.

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A nurse is teaching a class on torts. The nurse should include which of the following situations as an example of negligence?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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