TEST 1 chapter 4
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While preparing medications, the nurse notes an unusually large dose of medication for a client. Which action would be most appropriate?
A. Asking another nurse to give the medication
B. Giving the medication as ordered
C. Notifying the nursing supervisor
D. Calling the prescribing physician
Calling the prescribing physician
Albeit the responsibility to explain procedures, their risks and benefits to the client is that of the physician's, in some cases, this could be witnessed by the nurse. Which client is legally allowed to give informed consent?
A. An unconscious client
B. A client who cannot read
C. A sedated client
D. A 14-year-old with a broken arm
A client who cannot read
A nurse is involved in a research project on the unit involving evaluation of client care. What would be the best resource for gathering information on external standards of care
A. Nurse practice acts
B. Professional journals
B. Specific job descriptions
D. Institutional policies and procedures
Nurse practice acts
In which situation would the nurse understand that implied consent is given?
A. The nurse prepares to insert a nasogastric tube into a client.
B.The client will have anesthesia by a nurse anesthetist for a surgical procedure
C.A client is nearing delivery, attended by a nurse midwife.
D. An emergency room Emergency Department client with a laceration requiring sutures
The nurse prepares to insert a nasogastric tube into a client.
A nurse has been in the peer assistance program voluntarily after being charged with drug abuse on the nursing unit. Which statement is true about this nurse's ability to practice?
A.The nurse may work in a critical care area if closely supervised.
B. There are no restrictions on work if the nurse agrees to random drug screening.
C. The nurse may only work day shift, with no overtime.
D. The nurse may no longer practice nursing under state law.
The nurse may only work day shift, with no overtime.
Which situation is an example of an unintentional tort?
A. Forcibly restraining a client for a procedure
B. Telling another nurse that the client is gay
C.Administering a medication that causes client harm
D. Documenting in the chart that the client is incompetent
Administering a medication that causes client harm
The client responds when the nurse calls the client by name. After giving the client a medication, the nurse realizes that it is the wrong client. The physician is notified, and the nurse documents no adverse reactions to the medication. What should the nurse understand about the possibility of being sued for malpractice?
A. There is no validity to a lawsuit for malpractice, because the client did not sustain harm or injury from the action.
B. If the nurse notifies the physician, the nurse is no longer liable for the action.
C. The nurse can be sued, because the action was below the standard of practice.
D. There would be no lawsuit, because the client identified himself by answering when the nurse called his name.
There is no validity to a lawsuit for malpractice, because the client did not sustain harm or injury from the action.
When giving a report to the oncoming shift, which action by the nurse could be considered an invasion of the client's privacy?
A. Asking the client if a nursing student can participate in their care
B. Allowing a photographer to take a sleeping client's photograph
C. Telling the oncoming nurse that the client has active herpes
D. Telling a visitor the client's room number
Allowing a photographer to take a sleeping client's photograph
A nurse is interviewing for a position at a major hospital. Which information regarding liability insurance should the nurse keep in mind when asking questions about hospital versus private liability insurance?
A. Private liability insurance is not recommended, because the hospital has an umbrella policy covering all nurses.
B. Hospitals must carry complete liability insurance for all nurses employed.
C. Private liability insurance covers the nurse in all situations, inside and outside the hospital.
D. Nurses can be countersued by the hospital if they are found negligent and the hospital has to pay.
Nurses can be countersued by the hospital if they are found negligent and the hospital has to pay.
A client climbs over the side rails and falls after the nurse has instructed the client to remain in bed. What information should the nurse leave out of an incident report?
A. Names of witnesses
B. That the nurse was called to another unit to assist with a procedure
C. That the client received a sedative one hour prior to the incident
D. That the client disregarded the nurse's instructions on not getting out of bed
That the client disregarded the nurse's instructions on not getting out of bed
A nurse has been convicted of theft after the head nurse discovered the narcotics count inaccurate on a number of occasions. The hospital must report the nurse's conviction to which data base:
A. Healthcare Integrity and Protection Data Bank
B. Nursing Reference Data Bank
C. Health Professionals Data Collection Bank
D. Incompetent Registered Nurses Data bank
Healthcare Integrity and Protection Data Bank
A majority of disciplinary actions by the state boards of nursing pertain to:
A. Malpractice claims
B. Impaired nurses
D. Practicing without a license
A consulting surgeon explained the risks and benefits of an experimental surgery. The client signs the consent form with a witness that attests to the signature. The client dies during the surgery. The family, despondent after the death wants to litigate the hospital, physician and nursing staff. The nurse knows:
A. The family has a case and should contact a lawyer.
B. Nurse's notes should have documented the procedure of the informed consent and if the form was signed voluntarily.
C. The family does not have a case since the consent form was signed and witnessed.
D. The family does have a case since the client died.
Nurse's notes should have documented the procedure of the informed consent and if the form was signed voluntarily.
The day shift nurse receives report for a critically ill client who has pneumonia and is on a ventilator. The departing nurse shares the vital signs with the day nurse and reports that the temperature and blood pressure are within normal limits. When the day shift nurse performs an assessment, the client's temperature is 104.8° F. After checking the previous shift's vital signs, the nurse notes that the last time the temperature was taken was at midnight. It was now 8 am and the patient begins to seize. The nurse on duty knows:
A. Causation occurred
B. There was no foreseeability
C. Duty had not occurred since the client's first night shift nurse went home with the flu.
D. The night shift nurse should be fired for negligence.
Which law is the first nationwide legislation to protect privacy for health information?
A. Code of Ethics
B. Health Insurance Portability Act
C. Good Samaritan Act
D. American with Disabilities Act
Health Insurance Portability Act
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