1. A 67-year-old man who is NPO and scheduled for a transurethral resection of the prostate (TURP) in 3 hours.
2. A 53-year-old woman with an IV of 0.9% NaCl at 100 cc/h who had a lumbar laminectomy two days ago.
3. A 40-year-old woman with a Hemovac drain and a large surgical dressing from a mastectomy 2 days ago who is showing signs of depression.
4. A 27-year-old woman scheduled for discharge later today after receiving chemotherapy through a portacath for treatment of leukemia.
Strategy: The LPN/LVN is assigned stable patients with expected outcomes.
(1) needs preoperative teaching and assessment
(2) correct—basic care needs can be met by the LPN/LVN, don’t make patient assignments based on equipment
(3) needs therapeutic intervention, teaching, and assessment
(4) needs assessment and teaching
1032. The nurse knows that to manage at home alone following discharge from the hospital, an arthritic client must be able to perform which of the following tasks?
1. Climb up and down stairs.
2. Lace and tie his/her shoes.
3. Comb his/her hair and brush his/her teeth.
4. Walk without assistance.
Strategy: Think about the significance of each answer choice and how it relates to arthritis.
(1) stairs can be eliminated in the client’s environment
(2) is a modifiable problem with the use of slip-on shoes
(3) correct—is part of basic hygiene and grooming that must be done daily to maintain overall health
(4) is not necessary for independence; walker or wheelchair may be used
1033. A nurse was sued for malpractice but is proved innocent. Which fact from the case was decisive in determining the outcome?
1. Negligence was implied.
2. The suit was filed under the law of negligent tort.
3. No harm was actually suffered by the patient.
4. The nurse failed to give competent care.
Strategy: Think about each answer.
(1) negligence is the unintentional failure of an individual to perform an act that a reasonable
person would or not would perform in similar circumstances; can be an act of omission or
(2) tort is a legal term that means a wrongful act that results in injury, loss, or damage
(3) correct—required elements of malpractice are duty, breadth of duty, causation, and injury
(4) would be considered negligence