Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
What tort is committed by an assistive personnel who threatens to put a client in restraints for not following a provider's prescription for strict bed rest?
A. Assault.
This tort is committed by an assistive personnel who threatens to put a client in restraints for not following a provider’s prescription for strict bed rest because assault is defined as an intentional act that causes another person to fear that they will be harmed.
B. Defamation of character.
Choice B is wrong because defamation of character is not the tort committed in this situation. Defamation of character involves making false statements that harm another person’s reputation.
C. False imprisonment.
Choice C is wrong because false imprisonment is not the tort committed in this situation. False imprisonment involves intentionally restricting another person’s freedom of movement without their consent.
D. Battery.
Choice D is wrong because the battery is not the tort committed in this situation. Battery involves intentionally touching another person in a harmful or offensive manner without their consent.
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Full Explanation
This tort is committed by an assistive personnel who threatens to put a client in restraints for not following a provider’s prescription for strict bed rest because assault is defined as an intentional act that causes another person to fear that they will be harmed.
Choice B is wrong because defamation of character is not the tort committed in this situation.
Defamation of character involves making false statements that harm another person’s reputation.
Choice C is wrong because false imprisonment is not the tort committed in this situation.
False imprisonment involves intentionally restricting another person’s freedom of movement without their consent.
Choice D is wrong because the battery is not the tort committed in this situation.
Battery involves intentionally touching another person in a harmful or offensive manner without their consent.
Similar Questions
How should the nurse record the net fluid intake for a client who received 0.9% sodium chloride 600 mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100 mL intermittent IV bolus, 200 mL emesis, 40 mL voided urine, and 20 mL urine from straight catheterization?
A. 620 mL.
Step 1: Calculate the total fluid intake. The client received 0.9% sodium chloride 600 mL IV infusion and cefazolin 250 mg in dextrose 5% in water 100 mL intermittent IV bolus. So, the total fluid intake is 600 mL + 100 mL = 700 mL. Step 2: Calculate the total fluid output. The client had 200 mL emesis, 40 mL voided urine, and 20 mL urine from straight catheterization. So, the total fluid output is 200 mL + 40 mL + 20 mL = 260 mL. Step 3: Calculate the net fluid intake. The net fluid intake is the total fluid intake minus the total fluid output. So, the net fluid intake is 700 mL - 260 mL = 440 mL. Therefore, the nurse should record the net fluid intake as 440 mL.
B. 460 mL.
Step 1: Calculate the total fluid intake. The client received 0.9% sodium chloride 600 mL IV infusion and cefazolin 250 mg in dextrose 5% in water 100 mL intermittent IV bolus. So, the total fluid intake is 600 mL + 100 mL = 700 mL. Step 2: Calculate the total fluid output. The client had 200 mL emesis, 40 mL voided urine, and 20 mL urine from straight catheterization. So, the total fluid output is 200 mL + 40 mL + 20 mL = 260 mL. Step 3: Calculate the net fluid intake. The net fluid intake is the total fluid intake minus the total fluid output. So, the net fluid intake is 700 mL - 260 mL = 440 mL. Therefore, the nurse should record the net fluid intake as 440 mL.
C. 520 mL.
Step 1: Calculate the total fluid intake. The client received 0.9% sodium chloride 600 mL IV infusion and cefazolin 250 mg in dextrose 5% in water 100 mL intermittent IV bolus. So, the total fluid intake is 600 mL + 100 mL = 700 mL. Step 2: Calculate the total fluid output. The client had 200 mL emesis, 40 mL voided urine, and 20 mL urine from straight catheterization. So, the total fluid output is 200 mL + 40 mL + 20 mL = 260 mL. Step 3: Calculate the net fluid intake. The net fluid intake is the total fluid intake minus the total fluid output. So, the net fluid intake is 700 mL - 260 mL = 440 mL. Therefore, the nurse should record the net fluid intake as 440 mL.
D. 440 mL.
Step 1: Calculate the total fluid intake. The client received 0.9% sodium chloride 600 mL IV infusion and cefazolin 250 mg in dextrose 5% in water 100 mL intermittent IV bolus. So, the total fluid intake is 600 mL + 100 mL = 700 mL. Step 2: Calculate the total fluid output. The client had 200 mL emesis, 40 mL voided urine, and 20 mL urine from straight catheterization. So, the total fluid output is 200 mL + 40 mL + 20 mL = 260 mL. Step 3: Calculate the net fluid intake. The net fluid intake is the total fluid intake minus the total fluid output. So, the net fluid intake is 700 mL - 260 mL = 440 mL. Therefore, the nurse should record the net fluid intake as 440 mL.
Full Explanation
Step 1: Calculate the total fluid intake. The client received 0.9% sodium chloride 600 mL IV infusion and cefazolin 250 mg in dextrose 5% in water 100 mL intermittent IV bolus. So, the total fluid intake is 600 mL + 100 mL = 700 mL.
Step 2: Calculate the total fluid output. The client had 200 mL emesis, 40 mL voided urine, and 20 mL urine from straight catheterization. So, the total fluid output is 200 mL + 40 mL + 20 mL = 260 mL.
Step 3: Calculate the net fluid intake. The net fluid intake is the total fluid intake minus the total fluid output. So, the net fluid intake is 700 mL - 260 mL = 440 mL.
Therefore, the nurse should record the net fluid intake as 440 mL.
What findings should the nurse expect when assessing an older adult client?
A. Heightened sense of pain.
Choice A is wrong because older adults may actually have a decreased sense of pain.
B. Increased nighttime sleeping.
Choice B is wrong because older adults may experience changes in their sleep patterns, including difficulty falling asleep or staying asleep.
C. Decreased sense of balance.
As people age, they may experience a decrease in their sense of balance. This can increase the risk of falls and injuries.
D. Nighttime urinary incontinence.
Choice D is wrong because while urinary incontinence can be a common issue among older adults, it is not limited to nighttime.
Full Explanation
As people age, they may experience a decrease in their sense of balance. This can increase the risk of falls and injuries.
Choice A is wrong because older adults may actually have a decreased sense of pain.
Choice B is wrong because older adults may experience changes in their sleep patterns, including difficulty falling asleep or staying asleep.
Choice D is wrong because while urinary incontinence can be a common issue among older adults, it is not limited to nighttime.
A nurse in an emergency department is assessing a client who reports right lower quadrant pain, nausea, and vomiting for the past 48 hr.
Which of the following actions should the nurse take first?
A. Offer pain medication.
Choice A is wrong because while offering pain medication may provide temporary relief, it does not address the underlying cause of the client’s symptoms.
B. Auscultate bowel sounds.
The nurse should first auscultate the client’s bowel sounds. This will provide important information about the client’s gastrointestinal function and can help determine the cause of the client’s symptoms.
C. Palpate the abdomen.
Choice C is wrong because palpating the abdomen before auscultating bowel sounds can alter the bowel sounds and make it more difficult to accurately assess the client’s condition.
D. Administer an antiemetic.
Choice D is wrong because administering an antiemetic may provide temporary relief from nausea and vomiting, but it does not address the underlying cause of the client’s symptoms.
Full Explanation
The nurse should first auscultate the client’s bowel sounds.
This will provide important information about the client’s gastrointestinal function and can help determine the cause of the client’s symptoms.
Choice A is wrong because while offering pain medication may provide temporary relief, it does not address the underlying cause of the client’s symptoms.
Choice C is wrong because palpating the abdomen before auscultating bowel sounds can alter the bowel sounds and make it more difficult to accurately assess the client’s condition.
Choice D is wrong because administering an antiemetic may provide temporary relief from nausea and vomiting, but it does not address the underlying cause of the client’s symptoms.