The nurse administered the stat insulin dose as ordered, in the presence of the nurse's aide and the dietary aide, however, the nurse failed to chart the medication on the MAR. During a legal deposition regarding charges of professional malpractice, it was determined that:
the insulin was administered based per the nurse's testimony
none of the answers are correct
the insulin was administered based on the witness testimony
the insulin was not administered because it was not charted
The Correct Answer is D
A. The insulin was administered per the nurse's testimony: In legal cases, verbal testimony alone is not sufficient without documentation.
B. None of the answers are correct: One of the answers is correct based on legal documentation principles.
C. The insulin was administered based on the witness testimony: Even though there were witnesses, medication administration must be documented for legal and clinical accountability.
D. The insulin was not administered because it was not charted: "If it wasn't documented, it wasn't done." In legal and medical practice, lack of documentation means the action cannot be verified as completed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Patient's nursing problem: Nursing problems are identified in assessments, not the actual care documentation.
B. Interventions carried out to meet the patient’s needs: Documentation should include interventions, the time they were performed, and the caregiver’s signature for legal and professional accountability.
C. Patient’s medical problem: Medical problems are diagnosed by physicians, while nurses document care interventions related to nursing diagnoses.
D. The patient's response to the intervention carried out: While patient responses should be documented, this question focuses on recording interventions, not patient reactions.
Correct Answer is B
Explanation
A. As difficult to maintain: This is a subjective statement and not a proper nursing diagnosis.
B. As a risk factor: Bed rest increases the risk of complications such as pressure ulcers, deep vein thrombosis (DVT), and muscle atrophy.
C. As a nursing responsibility: While nurses help manage bed rest, it is not classified as a responsibility but as an intervention.
D. As contributing to the patient's recovery: Although bed rest may be necessary, prolonged immobility can have negative effects, making this statement incomplete.
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