Author Question: The nurse manager is concerned that a staff nurse's care demonstrates gross negligence. What actions ... (Read 71 times)

evelyn o bentley · **on:** Jul 23, 2018

The nurse manager is concerned that a staff nurse's care demonstrates gross negligence. What actions did the manager use to make this determination?

1. Removed a client's central line
2. Reconnected contaminated intravenous tubing to a client
3. Accessed the computerized documentation system with a password
4. Walked a client with a blood pressure of 70/58 mm Hg to the bathroom
5. Delegated nasotracheal suctioning for a client to unlicensed assistive personnel

Question 2

While working a scheduled shift the nurse focuses on actions to protect the privacy of a client with local notoriety. What actions should the nurse take at this time?

1. Secure the client's medical record.
2. Review the client's care with the media.
3. Remove the client's name from the door.
4. Permit family to view the client's record.
5. Fax the client's lab values with a cover sheet.

SomethingSomething · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1, 2, 4, 5

Rationale 1: Gross negligence involves extreme lack of knowledge, skill, or decision making that the person clearly should have known would put others at risk for harm. Removing a client's central line would be gross negligence.

Rationale 2: Gross negligence involves extreme lack of knowledge, skill, or decision making that the person clearly should have known would put others at risk for harm. Reconnecting contaminated intravenous tubing would be gross negligence.

Rationale 3: Accessing the computer documentation system with a password demonstrates compliance with HIPAA.

Rationale 4: Gross negligence involves extreme lack of knowledge, skill, or decision making that the person clearly should have known would put others at risk for harm. Walking a patient with an unsafe blood pressure is gross negligence.

Rationale 5: Gross negligence involves extreme lack of knowledge, skill, or decision making that the person clearly should have known would put others at risk for harm. Inappropriately delegating a skill is gross negligence.

Answer to Question 2

Correct Answer: 1, 3, 5

Rationale 1: Actions to ensure the client's privacy include securing the medical record.

Rationale 2: Sharing the client's care with the media violates the client's privacy.

Rationale 3: Actions to ensure the client's privacy include removing the client's name from the door.

Rationale 4: Permitting family to view the client's record violates the client's privacy.

Rationale 5: Actions to ensure the client's privacy include faxing information with a cover sheet.