Fundamentals of Nursing Chapter 4 Questions and Answers ( 100% pass)

Fundamentals of Nursing Chapter 4 Questions and Answers ( 100% pass) A primary care provider's orders indicate that a surgical consent form needs to be signed. Since the nurse was not present when the primary care provider discussed the surgical procedure, which statement best illustrates the nurse fulfilling the client advocate role? A: "The doctor has asked that you sign this consent form" B: "Do you have any questions about the procedure?" C: "What were you told about the procedure you are going to have?" D: "Remember that you can change your mind and cancel the procedure." - ANS- C: "What were you told about the procedure you are going to have?" Although the client refused the procedure, the nurse insisted and inserted a nasogastric tube in the right nostril. The administrator of the hospital decides to settle the lawsuit because the nurse is most likely to be found guilt of which of the following? A: An unintentional tort B: Assault C: Invasion of privacy D: Battery - ANS- D: Battery A nurse discovers that a primary care provider has prescribed an unusually large dosage of a medication. What is the most appropriate action? A: Administer the medication B: Notify the prescriber C: Call the pharmacist D: Refuse to administer the medication - ANS- B: Notify the prescriber A primary care provider prescribes one tablet, but the nurse accidently administers two. After notifying the primary care provider, the nurse monitors the client carefully for untoward effects of which there are none. Is the client likely to be successful in suing the nurse for malpractice? A: No, the client was not harmed B: No, the nurse notified the primary care provider C: Yes, a breach of duty exists D: Yes, foreseeability is present - ANS- A: No, the client was not harmed A nursing student is employed and working as an unlicensed assistive personnel (UAP) on a busy surgical unit. The nurses know that the UAP is enrolled in a nursing program and will be graduting soon. A nurse asks the UAP if he has performed a urinary catheterization on clients while in the nursing program. When the UAP says "Yes," the nurse asks him to help her out by doing a urinary catheterization on a postsurgical client. What is the best response by the UAP? A: "Let me get persmission from the client first" B: "Sure. Which client is it?" C: "I can't do it unless you supervise me." D: "I can't do it. Is there something else I can help you with?" - ANS- D: "I can't do it. Is there something else I can help you with?" The primary care provider wrote a do-not-resuscitate (DNR) order. The nurse recognizes that which applies in the planning of nursing care for this client? A: The client may no longer make decisions regarding his or her own health care. B: The client and family know that the client will most likely die within the next 48 hours. C: The nurses will continue to implement all treatments focused on comfort and symptom management. D: A DNR order from a previous admission is valid for the current admission. - ANS- C: The nurses will continue to implement all treatments focused on comfort and symptom management. The nurse's partner/spouse undergoes exploratory surgery at the hospital where the nurse is employed. Which practice is most appropriate? A: Because the nurse is an employee, access to the chart is allowed. B: The relationship with the client provides the nurse special access to the chart. C: Access to the chart requires a signed release form. D: The nurse can ask the surgeon to discuss the outcome of the surgery. - ANS- C: Access to the chart requires a signed release form. Following a motor vehicle crash, a nurse stops and offers assistance. Which of the following actions is/are most appropriate? Select all that apply. A: The nurse needs to know the Good Samaritan Act for the state. B: The nurse is not held liable unless there is gross negligence. C: After assessing the situation, the nurse can leave to obtain help. D: The nurse can expect compensation for helping. E: The nurse offers to help but cannot insist on helping. - ANS- A: The nurse needs to know the Good Samaritan Act for the state. B: The nurse is not held liable unless there is gross negligence. E: The nurse offers to help but cannot insist on helping. The nurse notices that a colleague's behaviors have changed during the past month. Which behaviors could indicate signs of impairment? Select all that apply. A: Is increasingly absent from the nursing unit during the shift B: Interacts well with others C: "Forgets" to sign out for administration of controlled substances D: Offers to administer prn opioids for other nurses' clients E: Is able to say "no" to requests to work more shifts - ANS- A: Is increasingly absent from the nursing unit during the shift C: "Forgets" to sign out for administration of controlled substances D: Offers to administer prn opioids for other nurses' clients Which nursing actions could result in malpractice? Select all that apply. A: Learns about a new piece of equipment B: Forgets to complete the assessment of a client C: Does not follow up on client's complaints D: Charts client's drug allergies E: Questions primary care provider about an illegible order - ANS- B: Forgets to complete the assessment of a client C: Does not follow up on client's complaints Do nursing students practice on their instructor's or another nurse's license? - ANS- No, each nurse and nursing student is responsible and accountable for providing safe client care HIPAA Compliance: