A nurse's inadvertent medication error results in a severe allergic reaction and prolongs the client's hospitalization. The client could rightfully sue the nurse for which of the following?

Abuse

Battery

Assault

Malpractice

Answer and Explanation

The Correct Answer is D

A. Abuse:

Abuse typically involves intentional harm or mistreatment of another person. In this scenario, the nurse's error was inadvertent, not intentional, so it does not constitute abuse.

B. Battery:

Battery involves intentional harmful or offensive contact with another person without their consent. The inadvertent medication error in this scenario does not involve intentional contact or harm, so it does not constitute battery.

C. Assault:

Assault involves intentionally threatening or causing fear of immediate harm or offensive contact with another person. The inadvertent medication error, while resulting in harm, was not intentional or intended to cause fear, so it does not constitute assault.

D. Malpractice:

Malpractice refers to professional negligence or failure to adhere to the standard of care expected in one's professional duties, resulting in harm to a patient. In this scenario, the nurse's inadvertent medication error constitutes malpractice because it involved a breach of the standard of care expected in medication administration, resulting in harm to the client.

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Correct Answer is D

Explanation

A. Helping the client into the shower: This task can be safely delegated to an assistive personnel (AP). The AP can help the client with activities of daily living such as showering, as long as the client is stable and does not require close monitoring.

B. Ambulating the client in the hallway: This task can also be delegated to an AP. Assisting with ambulation is within the scope of practice for an AP, provided the client is stable and there are no specific concerns that require a nurse’s assessment.

C. Measuring vital signs: While measuring vital signs is a critical task, it can be delegated to an AP. The AP can be trained to accurately measure and report vital signs. However, the nurse should review and interpret the results.

D. Removing the sternal dressing: This is the correct answer. Removing a sternal dressing after cardiac surgery is a complex task that requires a nurse’s expertise2. The nurse needs to assess the surgical site for signs of infection or complications, which is beyond the scope of practice for an AP. Therefore, this task should not be delegated and should be performed by the nurse herself

A. Positive Kernig's sign B. Dull, aching calf pain C. Soft, pliable calf muscle D. Positive Homan's sign

Correct Answer is ["B","D"]

Explanation

A. Positive Kernig's sign:

Positive Kernig's sign is associated with meningitis, not thrombosis. It is a clinical sign where pain is elicited when the hip is flexed at a 90-degree angle and then the knee is extended. This sign is not relevant for identifying a thrombus.

B. Dull, aching calf pain:

Dull, aching calf pain is a common symptom of deep vein thrombosis (DVT). Pain, swelling, and tenderness in the calf are typical manifestations of a thrombus in the leg veins. This symptom should alert the nurse to the possibility of a thrombus.

C. Soft, pliable calf muscle:

A soft, pliable calf muscle is not indicative of a thrombus. In the case of DVT, the affected leg is usually swollen, firm, and tender. Thus, this manifestation does not suggest the presence of a thrombus.

D. Positive Homan's sign:

Positive Homan's sign is identified when there is pain in the calf upon dorsiflexion of the foot. This sign can be indicative of DVT. Although not highly specific or sensitive, it is one of the traditional signs used to assess for the presence of a thrombus in the leg.

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A nurse's inadvertent medication error 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 nurse is delegating tasks for an assistive personnel (AP) to perform for a client who is 1-day postoperative following cardiac surgery. Which of the following tasks should the nurse perform herself?

Correct Answer is D

Explanation

A nurse is caring for a client who is postoperative following cardiac surgery. Which of the following manifestations should indicate to the nurse that the client has developed a thrombus?

Correct Answer is ["B","D"]

Explanation

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