The nurse does not turn a client every two hours as ordered, and the client develops a pressure injury.
What legal concept applies?

Breach of duty.

Criminality.

Scope of practice.

False imprisonment.

Answer and Explanation

The Correct Answer is A

This is because the nurse had a legal obligation to turn the client every two hours as ordered, and by failing to do so, they did not exercise reasonable care that could foreseeably prevent harm to the client. This is an example of negligence, which requires four elements: duty, breach, injury and causation.

Choice B is wrong because criminality refers to the violation of criminal laws, such as theft or assault, which are not applicable in this case.

Choice C is wrong because scope of practice refers to the range of activities that a health care professional is authorized to perform based on their education, training and certification.

The nurse’s failure to turn the client does not relate to their scope of practice. Choice D is wrong because false imprisonment refers to the unlawful restraint of a person’s freedom of movement, such as locking them in a room or restraining them against their will.

The nurse’s failure to turn the client does not involve any such restraint.

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Correct Answer is D

Explanation

Malignant hyperthermia is a severe reaction to certain drugs used for anesthesia that can cause muscle rigidity, fever, and a fast heart rate. It can be fatal if not treated promptly with medication, oxygen, body cooling, and supportive care. The patient’s symptoms match those of malignant hyperthermia.

Choice A is wrong because alpha-1 antitrypsin deficiency is a genetic disorder that affects the lungs and liver, causing shortness of breath, wheezing, and jaundice.

It does not cause a rise in body temperature or muscle rigidity. Choice B is wrong because malignant hypothermia does not exist. It is a misspelling of malignant hyperthermia.

Choice C is wrong because thalassemia is a genetic disorder that affects the production of hemoglobin, causing anemia, fatigue, and bone deformities.

It does not cause a rise in body temperature or muscle rigidity.

A. Encouraging the client to verbalize questions or concerns. B. Telling the client that refusal of the medication is considered noncompliance. C. Informing the client that the medication is the same as taken at home. D. Insisting the client takes the prescribed medications.

Correct Answer is A

Explanation

This demonstrates advocacy for client rights because it respects the client’s autonomy, dignity, and preferences. It also helps the client to make informed decisions about their own health.

Choice B is wrong because telling the client that refusal of the medication is considered noncompliance is coercive and violates the client’s right to refuse treatment.

It also does not address the client’s reasons for refusing the medication or provide any information or education.

Choice C is wrong because informing the client that the medication is the same as taken at home is not enough to ensure that the client understands the purpose, benefits, and risks of the medication.

It also does not verify that the client is taking the medication correctly at home or that there are no changes in the dosage or frequency.

Choice D is wrong because insisting the client takes the prescribed medications is also coercive and violates the client’s right to refuse treatment.

It also does not respect the client’s autonomy, dignity, and preferences.

It may also cause harm to the client if they have an allergy, intolerance, or contraindication to the medication.

Advocacy for nursing stems from a philosophy of nursing in which nursing practice is the support of an individual to promote his or her own well-being, as understood by that individual. It is an ethic of practice that requires nurses to protect and uphold their patients’ rights, values, and interests.

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The nurse does not turn a client every two hours as ordered, and the client develops a pressure injury. What legal concept applies?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse is preparing to administer a medication to a client. Which of the following actions by the nurse demonstrates advocacy for client rights?

Correct Answer is A

Explanation

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The nurse does not turn a client every two hours as ordered, and the client develops a pressure injury.
What legal concept applies?