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In which situation is the nurse determined to be negligent?

The nurse provides written and verbal instructions prior to discharge. When at home the client began to take the wrong medication.

The nurse hangs a new bag of IV ﬂuids 1 hour early and does not count what is remaining in the bag on the ﬂuid record.

The nurse gives medication to another nurse to give to a client and the wrong client receives the medication and becomes ill.

A client becomes confused and combative and pulls out the IV. The nurse calls the health care provider to change the behavior.

Answer and Explanation

The Correct Answer is C

Negligence is a failure to act in a reasonable and prudent manner that results in harm or injury to another person. In option c), the nurse did not exercise reasonable care in ensuring that the medication was given to the correct patient, which resulted in harm to the wrong patient.

The other options (a, b, and d) do not involve a failure to act in a reasonable and prudent manner that caused harm or injury to the client. In option a), the nurse provided written and verbal instructions, but the client did not follow them, which is beyond the nurse's control.

In option b), the nurse made an error in documenting the ﬂuid count, which is a documentation error, not negligence. In option d), the nurse acted appropriately by calling the healthcare provider to change the client's behavior, and the situation does not involve negligence.

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Correct Answer is ["A","D","E"]

Explanation

These are all signs of ﬂuid volume overload. Measuring the client's intake and output can help the nurse monitor the client's ﬂuid balance and detect any imbalances. A productive cough may indicate ﬂuid accumulation in the lungs.

Weight gain and edema are also signs of ﬂuid retention.

A. Cover the exposed needle with an alcohol swab. B. Prepare another injection with a sterile syringe and needle. C. Hold the syringe upright to the client's bedside to provide the injection. D. Cleanse the needle cap with an alcohol swab before covering the needle.

Correct Answer is B

Explanation

Dropping the needle cap on the ﬂoor contaminates it, and any attempt to clean it with alcohol will not make it sterile again. Therefore, the only way to ensure that the injection will be sterile is to use a new sterile syringe and needle.

Holding the syringe upright or cleansing the contaminated needle cap with alcohol is not enough to ensure sterility and can put the patient at risk for infection.

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In which situation is the nurse determined to be negligent?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse provides care for a client recovering from a motor vehicle crash. For which sign of ﬂuid volume overload does the nurse measure the client's intake and output? (Select all that apply)

Correct Answer is ["A","D","E"]

Explanation

While the nurse prepares an injection for a client, the needle cap falls on the ﬂoor. Which action indicates that the injection will be sterile?

Correct Answer is B

Explanation

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