Author Question: You have been assigned to care for a client in the clinical setting. Which of the following would be ... (Read 59 times)

mydiamond · **on:** Jul 22, 2018

You have been assigned to care for a client in the clinical setting. Which of the following would be important prior to caring for the client?

1. Advise the instructor if there is a skill that you dislike doing.
2. Review all notes taken during practice in the skills lab.
3. Get at least 80 correct on the skills review conducted prior to clinical.
4. Practice skills until you know what to do when called upon.

Question 2

Which of the following could result in the nurse being found negligent?

1. The nurse, while driving to work, passes the scene of an accident with obvious injury but does not stop.
2. The nurse administers the wrong medication to a client, who suffers no ill effect.
3. The nurse initiates a care plan to prevent skin breakdown and documents thoroughly, but the client develops a pressure ulcer anyway.
4. The client with a history of dementia and wandering crawls over the side rail and falls, and breaks her hip.

rosiehomeworddo · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4
Rationale 1: You are responsible for delivering the care that was practiced in the lab. If you are uncertain regarding some skills, you are responsible for seeking help and practicing those skills. There are tasks in nursing that are unpleasant but must be done for the client (option 1). Reviewing notes alone will not help you perfect a skill; practice is required when manual dexterity and performance is involved (option 2). Option 3 does not indicate comfort with the skill, only that most steps were performed correctly. Before performing on a live client, comfort and expertise should be demonstrated.

Answer to Question 2

4
Rationale 1: Answer option 4 is correct because the nurse should not have raised the side rails if the client has a history of dementia and tends to wander, because it increases the risk of serious injury. The nurse in option 1 might have an ethical responsibility to act, but does not have a duty to the client involved in the accident, and so cannot be found negligent. The nurse in option 2 created no harm, which must exist in order to find the nurse negligent. The nurse in option 3 acted in the client's best interest. Pressure ulcers might not always be preventable in clients who are severely malnourished or have very poor perfusion, so the client's harm was not the nurse's fault.