A client arrives in active labor and exhibits toxemia with irregular fetal heart tones. The
client is an immigrant and is uninsured. Which act would prevent the client from being
transferred to another facility? - answer Emergency Medical treatment and active labor
law; prohibits the transfer of unstable clients and prohibits refusal of care for uninsured
clients who seek care in the ED
A nurse is caring for a client with malignant hypertension whose BP has increased by
40mmHg during the past hour. The nurse goes to lunch and fails to report the change to
the physician. The nurse is at risk for being charged with: - answer Negligence
A nurse is caring for a client who just suffered a stroke and is medicated for pain. The
nurse completes the following interventions: places the client on the examining table,
completes a thorough history and physical, covers the client with a sheet, places the call
button within reach, and goes out in the hall to speak with the client's physician. The
client tries to get up to speak with his family and falls, sustaining a hematoma on the
head and a broken hip. The nurse's actions reflect: - answerNegligence
Libel: - answerDefined as a form of defamation inflicted by the written word
A nursing student planning to apply for licensure knows that being charged with which
offense would result in a minor criminal offense? - answerFailing to report elder abuse
When differentiating between slander and libel, the nurse knows that libel: -
answerresults from defamation caused by subjective comments written in the nurse's
notes
Which statement regarding informed consent is correct? Informed consent: -
answerMust reveal expected benefits
-The information that constitutes IC: nature of the therapy or procedure, expected
benefits and outcomes of therapy, potential risks, alternative therapies, risks of not
having procedure
A client states, "I am leaving. No one here knows what they are doing." The nurse
completing the Against Medical Advice form must: - answerInform the client that leaving
could result in complications and impairment
When can a nurse detain a client by using restraints? - answerThere are current
physician orders following a medical evaluation
, When the client is unable to make medical decisions for himself or herself, authorization
that allows another person to make these decisions is called: - answerdurable power of
attorney
All hospitals receiving Medicare and Medicaid funds must ask clients whether they have
a living will or a durable power of attorney. This act is known as the: - answerPatient
Self-determination act
A nurse who functions in the role of team leader can be held negligent for matters
involving: - answerdelegation of client care tasks
Although a hospital reversed all charges when a client was the victim of wrong site
surgery, the court awarded the client $1.5 million. The client was able to return to work
in 6 weeks and had no permanent damages. This monetary compensation is termed: -
answerPunitive damages: monetary compensation to an injured client that is greater
than amount of loss
A physician orders a drug for a patient with a known allergy resulting in anaphylactic
shock. The nurse: - answerRecognizes disclosure as an essential component of the
national patient safety movement
A nurse is charged with battery after helping an invalid patient back to bed and not
calling for help due to a reduced staffing level. The patient sustained excessive bruising,
sore joints, and extended stay. In this case, the: - answerpatient is the plaintiff
-The complaining person in a lawsuit is the plaintiff
A nurse working in a privately owned hospital is charged with a negligent act after failing
to check laboratory reports prior to giving a dose of digoxin (Lanoxin) resulting in the
patient's condition becoming critical due to decreased cardiac output and falling leading
to a broken hip and concussion. A nurse is brought in who testifies that a professional
with the knowledge and skill of an RN should understand that, before administering this
drug, potassium level and pulse level is always checked to prevent such an occurrence.
The nurse's testimony as to what constitutes reasonable care is based on: - answerthe
legal definition of standard of care
On a nursing unit all assigned breaks including lunch/dinner breaks are assigned at the
beginning of the shift. A nurse caring for a patient with anemia and heart failure
prepares to hang a unit of packed red blood cells and realizes her break is in 5 minutes.
She decides it is not necessary to have another nurse check the blood against the
patient's information since the patient's blood type is O+ which she incorrectly
remembered to be the universal donor. She hangs the blood, noting the patient is
"reading and vital signs normal." She leaves the floor for her break and does not report
leaving or ask anyone to perform required vital signs. Upon returning she meets a family
friend who is visiting and time "just flies." She returns to the patient's room after
admitting a new patient. The patient is hypotensive and color is cyanotic and anxious.
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