1 / 21
NSG 233 Med Surg 3 Exam 1 2023 Questions and Answers (Verified Answers) 1.A client is referred to a surgeon by the healthcare provider. After meeting with the surgeon, the client decides to consult with a different surgeon about treatment options. The nurse supports the client's action, utilizing
which eth- ical principle?: Autonomy
Autonomy is the right of individuals to take action for themselves 2.A nurse forgets to administer a dose of a client's diuretic drug and the client experiences an episode of pulmonary edema. The nurse should consider that this error constitutes negligence because the situation
contains which element?: Unintentional failure to perform a healthcare
procedure Negligence is the unintentional failure of an individual to perform or not perform an act that a reasonable person would or would not do in the same or similar circumstances. 1 / 4
2 / 21
3.A client asks why a diagnostic test has been prescribed and the nurse replies, "I'm unsure but will find out for you." When the nurse later returns
and provides an explanation, the nurse is acting under which principle?:
Fidelity Fidelity means being faithful to agreements and promises. This nurse is acting on the client's behalf to obtain needed information and report it back to the client 4.An individual falls and fractures a hip while walking down the street. A companion notices a nurse drive past without stopping to assist. The indi- vidual sues the nurse for negligence but fails to win a judgement for
which reason?: The nurse had no duty to the individual
To be guilty of negligence, the nurse must have a relationship with the client that involves a duty to provide care 5.A client who is taking warfarin is given aspirin for a headache while visiting a neighbor, who is a nurse. The client subsequently has a bleeding episode caused by interaction of these drugs. The legal nurse consultant interprets which necessary elements of malpractice are missing from this
case? Select all that apply: Duty owed
Intent to cause harm or injury 2 / 4
3 / 21
There was no nurse-client relationship because the nurse was acting as a neighbor and not in an employment capacity. Thus, there can be no duty owed.
6.A client with cancer has decided to discontinue further treatment.Although the nurse would like the client to continue treatment, the nurse recognizes the client is competent and supports the client's decision using which ethical 3 / 4
4 / 21
principle?: Autonomy
Autonomy refers to the right to make one's own decisions, which is the principle supported in this situation 7.The healthcare provider prescribes a medication in a dose that is consid- ered toxic. The nurse administers the medication to the client, who later suffers a cardiac arrest and dies. What consequence can the nurse expect
from this situation. Select all that apply: The healthcare provider who
prescribed the drug can be charged with negligence The nurse can be charged with negligence for administering the toxic dose Healthcare providers who prescribe incorrect dosages of medications are liable for their errors. The nurse is open to a charge of negligency for failing to verify and question the incorrect dose 8.A nurse and teacher are discussing legal issues related to the practice of their professions. The teacher asks about the functions of the Nurse Practice Act (NPA). The nurse should include which elements in a response?
Select all that apply: Protect the public
Define the scope of nursing practice A NPA serves to protect the public by setting minimum qualifications for nursing in relation to skills and competencies. One way it fulfills
- / 4