A nurse performs cardiopulmonary resuscitation (CPR) on a 92-year-old with brittle bones and breaks a rib during the procedure, which then punctures a lung. The patient recovers completely without any residual problems and sues the nurse for pain and suffering and for malpractice. Which key point will the prosecution attempt to prove against the nurse?

The patient would have died if nothing was done.

The CPR procedure was done incorrectly.

The patient was resuscitated according to the policy.

The older patient with brittle bones might sustain fractures when chest compressions are done.

Answer and Explanation

The Correct Answer is B

A. While the patient may have been in a life-threatening situation, this point is not necessarily a direct indictment of the nurse’s actions but rather a justification for performing CPR.
B. The prosecution will likely focus on whether the CPR was performed according to accepted standards of care. If it can be shown that the technique was inappropriate or negligent, this would support the claim of malpractice.
C. Performing CPR according to policy may serve as a defense for the nurse, emphasizing adherence to established protocols.
D. While it is true that older adults with brittle bones may be at risk for fractures, this is a known risk of CPR, and the prosecution will aim to demonstrate specific negligence or failure in technique rather than just acknowledging inherent risks.

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Correct Answer is C

Explanation

A. Assertiveness training may benefit family communication but is not specifically effective in managing homework stress.
B. Routine preventative health visits are important for overall health but do not directly address homework-related stress.
C. Teaching time-management skills helps children with ADHD better organize their tasks and allocate appropriate time for homework, thus reducing stress and improving academic performance.
D. Speech articulation skills focus on communication and language development, which are not directly related to managing homework stress for children with ADHD.

A. Remove eyewear/face shield and goggles. B. Perform hand hygiene, leave room, and close door. C. Remove gloves. D. Untie gown, allow gown to fall from shoulders, and do not touch outside of gown; dispose of properly. E. Remove mask by strings; do not touch outside of mask. F. Dispose of all contaminated supplies and equipment in designated receptacles.

Correct Answer is A,D,E,C,F,B

Explanation

A. The eyewear or face shield is typically removed first to prevent contamination of the face.

D. After eyewear is removed, the gown should be untied and removed without touching the outside to avoid contamination.

E. The mask is removed next, ensuring to only touch the strings to prevent exposure to contaminants.

C. Gloves are then removed as they are considered the most contaminated.

F. Contaminated supplies and equipment should be disposed of properly to maintain a safe environment.

B. Finally, hand hygiene is performed before leaving the room and closing the door.

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Naxlex Comprehensive Predictor Exams

A nurse is helping parents who have a child diagnosed with attention-deficit/hyperactivity disorder. Which strategy will the nurse share with the parents to reduce stress regarding homework assignments?

Correct Answer is C

Explanation

The nurse is caring for a patient who needs a protective environment. The nurse has provided the care needed and is now leaving the room. In which order will the nurse remove the personal protective equipment, beginning with the first step?

Correct Answer is A,D,E,C,F,B

Explanation

An experienced medical-surgical nurse chooses to work in obstetrics. Which level of proficiency is the nurse upon initial transition to the obstetrical floor?

A nurse is assessing a patient with prolonged stress. Which conditions will the nurse monitor for in this patient? (Select all that apply.)

The nurse is planning to administer a tuberculin test with a 27-gauge, 5/8-inch needle. At which angle will the nurse insert the needle?

The nurse is assessing a new patient admitted to home health. Which questions will be most appropriate for the nurse to ask to determine the risk of infection? (Select all that apply.)

The nurse is giving an intramuscular (IM) injection. Upon aspiration, the nurse notices blood return in the syringe. What should the nurse do?

A nurse is providing passive range of motion (ROM) for a patient with impaired mobility. Which technique will the nurse use for each movement?