FREE Registered Nurse: Management Care Questions and Answers
A 3-pound infant being given adult-strength digitalis (Digoxin, Lanoxin) by a nurse in the neonatal intensive care unit (NICU). The result is irreversible brain and cardiac damage in the infant. The nurse could face charges for
Malpractice refers to the act of executing or omitting to execute an act that causes injury to a client, and this nurse may be charged with it. Even if done unintentionally, giving the baby an overdose is malpractice. Failure to provide a patient with the necessary level of care constitutes negligence. Tort refers to an unlawful act done to a patient or their property. A violent physical or verbal assault is called an assault.
The patient was brought back to the facility after surgery and is now complaining of pain that is at a level of nine out of ten. When the nurse looks through the paperwork, she finds the surgeon's postoperative order for "10 mg MSO4". What should the nurse do first before giving the patient morphine?
Because the surgeon's order does not specify how the drug should be delivered, the surgeon should be contacted. Additionally, "MSO4" might stand for both morphine and magnesium sulfate. The correct patient, right drug, right dose, right route, and right time should always be kept in mind when administering medications. This order requires clarification.
Without first getting the client's informed consent, doing a non-emergency intrusive surgery on them can be seen as
Battery in medicine refers to the willful violation of a patient's freedom to choose their own medical care. Before administering non-emergency care, the patient's informed agreement must be sought. Even if a doctor does not mean to injure the patient, medical battery may still be the cause of a medical procedure performed against the patient's will or without their consent.
The Nurse Practice Act is an illustration of
Legislative and authoritative authorities provide statutory law. Each US state has passed a Nurse Practice Act, which creates licensing organizations or boards to govern nursing practice and create rules and regulations.
A patient who has had septic shock is being cared for by a healthcare professional. Which one of these should the medical professional give the patient first?
IV fluids will be begun right away in order to treat circulation and perfusion initially. Broad-spectrum antibiotics should be given right away when blood cultures are acquired. If the patient is not responding to the fluid challenge, vasopressors are given. Consider using corticosteroids to treat the capillary leakage and vasodilation brought on by inflammation.
In order to give the preoperative medication as directed before a patient is sent to surgery, the operating room telephones the unit nurse. The patient did not sign the surgery consent, the unit nurse finds out after administering the drug. What ought the nurse to start with?
Start with the next authority figure in the chain of command when reporting an occurrence. You might need to finish a report for the Quality Improvement or Risk Management departments, depending on the institution. The nurse may be asked to inform the surgeon and OR, or the nursing supervisor may take control of the situation.
Four patients' care is being planned by a healthcare professional. Which patient is in need of preventative measures for anemia the most?
Renal insufficiency reduces the amount of red blood cells that the bone marrow produces because it produces less erythropoietin. Additionally, this patient is at the highest risk of anemia since hemodialysis can result in hemolysis. True veganism may increase the risk of anemia, however the majority of vegetarian diets have the right nutrients to lower anemia risk. Anemia is unlikely in a postoperative patient with a Jackson-Pratt drain unless there are symptoms of an abrupt hemorrhage.
Which of the following is true about the legality of medicine?
Treatment for an STD infection is permitted without parental approval under the HIPAA Privacy Rule. The customer is "forced" to give names but is "recommended" to contact sexual partners. According to current privacy rules, parental consent is not required after the age of 13. The "person" who can consent to STD treatment is deemed to be a minor. The phases of pregnancy at which a woman may lawfully get an abortion are governed by state law. Nurse students may be held accountable for their behavior. Negligence includes failing to provide for a patient.
The National Council of State Boards of Nursing developed and distributed the
The roles and responsibilities of every nurse are outlined in the American Nurses Association (ANA) Code of Ethics. It is the unwavering ethical standard of the nursing profession. The last update to the Code of Ethics was made in 2015. In 1898, the ANA was established. In 1893, the National League for Nursing was established.
A patient's healthcare professional issues a Do-Not-Resuscitate (DNR) order following a discussion with the patient's family. When preparing treatment for this patient, what does the nurse comprehend?
Only CPR and related life-saving procedures are subject to a DNR order. The rest of your care should be administered as directed. Patients who are competent can still make decisions regarding their own treatment, including whether to revoke the DNR. With each hospitalization, a fresh DNR order is created.
When a client inquires about her prognosis, which ethical standard is applied?
The ethical rule of veracity states that one should always tell the truth. There is no room for lies or deception. It is our responsibility to practice goodness and foster goodwill. Being loyal and upholding your word are examples of fidelity. The obligation to act without malice is to prevent harm from occurring.
When a patient declines medical care, this is an illustration of
Common law permits a mentally competent adult to decline medical care, even if doing so speeds up their demise. It is based on earlier instances of a similar nature and is often known as case or precedent law. A legal dispute's precedents are influenced by specific decisions. On US cases from 1891 and 1914, the freedom to refuse treatment is grounded. According to the New York Court of Appeals' decision in Schloendorff v. Society of New York Hospital (1914), "Every human being of mature years and sound mind has a right to select what will be done with his own body."
The nurse can request that unlicensed assistive personnel (UAP) perform ALL of the following EXCEPT
Patients or their families may not get training or education from unlicensed assistive workers (UAP). Additionally, they are not allowed to carry out invasive surgeries, dispense prescriptions, or examine patients. They are just able to report what they see; they cannot understand or evaluate the circumstances. Additionally, they have emergency help certification. Education entails evaluating comprehension and tailoring the material to the patient's and their family's requirements.
The pediatric unit's healthcare worker has been given her daily tasks. Which of the following patients has to be evaluated first by the medical professional?
Priority is given to the patient who has chest symptoms and a pleural effusion. The patient is displaying a genuine issue that necessitates quick evaluation and treatment. Although possible airway and breathing problems like asthma and bronchitis exist, the individuals are stable.
Which duty should the nursing assistant be given?
The client with dementia who needs to be fed is the one who needs to be given the nursing assistant's care.
What types of personal medical data are covered by the HIPAA Privacy Rule?
Any information in a chart or medical record that could be used to identify a person is considered protected health information (PHI). It consists of both personally identifiable information (PII) and health information, and it can be expressed verbally, electronically, or in writing. The HIPAA Privacy Rule applies to anything that can link a patient to their medical information.