Rationale:
The Good Samaritan Act (C) protects health care professionals who practice in good
faith and provide reasonable care from malpractice claims, regardless of the client
outcome. Although the Patient's Bill of Rights protects clients, this nurse is protected by
the Good Samaritan Act (A). The state Board of Nursing has no reason to revoke a
registered nurse's license (B) unless there was evidence that actions taken in the
emergency were not done in good faith or that reasonable care was not provided. All
four elements of malpractice were not shown (D).
, A nurse stops at a motor vehicle collision site to render aid until the
emergency personnel arrive and applies pressure to a groin wound that is
bleeding profusely. Later the client has to have the leg amputated and sues
the nurse for malpractice. Which is the most likely outcome of this lawsuit?
A.
The Patient's Bill of Rights protects clients from malicious intents, so the nurse
could lose the case.
B.
The lawsuit may be settled out of court, but the nurse's license is likely to be
revoked.
C.
There will be no judgment against the nurse, whose actions were protected
under the Good Samaritan Act.
D.
The client will win because the four elements of negligence (duty, breach,
causation, and damages) can be proved.
Rationale:
The cephalic vein is large and superficial and identifies the anatomic name of the vein
that is accessed, which should be included in the documentation (B). The basilic vein of
the arm is used for IV access, not the brachial vein (A), which is too deep to be accessed
for IV infusion. Although veins on the dorsal side of the right wrist (C) are visible, they are
fragile and using them would be painful, so they are not recommended for IV access. (D)
is not specific enough for documenting the location of the IV access.
, The nurse selects the best site for insertion of an IV catheter in the client's
right arm. Which documentation should the nurse use to identify placement of
the IV access?
A.
Left brachial vein
B.
Right cephalic vein
C.
Dorsal side of the right wrist
D.
Right upper extremity
Rationale:
A health promotion brochure about decreasing cholesterol (C) is most important to
provide this client, because the most significant risk factor contributing to development
of arteriosclerosis is excess dietary fat, particularly saturated fat and cholesterol. (A)
does not address the underlying causes of arteriosclerosis. (B and D) are also important
factors for reversing arteriosclerosis but are not as important as lowering cholesterol (C).
, The nurse is teaching an obese client, newly diagnosed with arteriosclerosis,
about reducing the risk of a heart attack or stroke. Which health promotion
brochure is most important for the nurse to provide to this client?
A.
"Monitoring Your Blood Pressure at Home"
B.
"Smoking Cessation as a Lifelong Commitment"
C.
"Decreasing Cholesterol Levels Through Diet"
D.
"Stress Management for a Healthier You"
Rationale:
The most accurate respiratory rate is the second count obtained by the nurse, which was
not interrupted by coughing. Because it was counted for 30 seconds, the rate should be
doubled (B). (A, C, and D) are inaccurate recordings.
Give this one a try later!
The Good Samaritan Act (C) protects health care professionals who practice in good
faith and provide reasonable care from malpractice claims, regardless of the client
outcome. Although the Patient's Bill of Rights protects clients, this nurse is protected by
the Good Samaritan Act (A). The state Board of Nursing has no reason to revoke a
registered nurse's license (B) unless there was evidence that actions taken in the
emergency were not done in good faith or that reasonable care was not provided. All
four elements of malpractice were not shown (D).
, A nurse stops at a motor vehicle collision site to render aid until the
emergency personnel arrive and applies pressure to a groin wound that is
bleeding profusely. Later the client has to have the leg amputated and sues
the nurse for malpractice. Which is the most likely outcome of this lawsuit?
A.
The Patient's Bill of Rights protects clients from malicious intents, so the nurse
could lose the case.
B.
The lawsuit may be settled out of court, but the nurse's license is likely to be
revoked.
C.
There will be no judgment against the nurse, whose actions were protected
under the Good Samaritan Act.
D.
The client will win because the four elements of negligence (duty, breach,
causation, and damages) can be proved.
Rationale:
The cephalic vein is large and superficial and identifies the anatomic name of the vein
that is accessed, which should be included in the documentation (B). The basilic vein of
the arm is used for IV access, not the brachial vein (A), which is too deep to be accessed
for IV infusion. Although veins on the dorsal side of the right wrist (C) are visible, they are
fragile and using them would be painful, so they are not recommended for IV access. (D)
is not specific enough for documenting the location of the IV access.
, The nurse selects the best site for insertion of an IV catheter in the client's
right arm. Which documentation should the nurse use to identify placement of
the IV access?
A.
Left brachial vein
B.
Right cephalic vein
C.
Dorsal side of the right wrist
D.
Right upper extremity
Rationale:
A health promotion brochure about decreasing cholesterol (C) is most important to
provide this client, because the most significant risk factor contributing to development
of arteriosclerosis is excess dietary fat, particularly saturated fat and cholesterol. (A)
does not address the underlying causes of arteriosclerosis. (B and D) are also important
factors for reversing arteriosclerosis but are not as important as lowering cholesterol (C).
, The nurse is teaching an obese client, newly diagnosed with arteriosclerosis,
about reducing the risk of a heart attack or stroke. Which health promotion
brochure is most important for the nurse to provide to this client?
A.
"Monitoring Your Blood Pressure at Home"
B.
"Smoking Cessation as a Lifelong Commitment"
C.
"Decreasing Cholesterol Levels Through Diet"
D.
"Stress Management for a Healthier You"
Rationale:
The most accurate respiratory rate is the second count obtained by the nurse, which was
not interrupted by coughing. Because it was counted for 30 seconds, the rate should be
doubled (B). (A, C, and D) are inaccurate recordings.
Give this one a try later!
