A male client is receiving total parenteral nutrit

Question 1 of 5

A male client is receiving total parenteral nutrition suddenly demonstrates signs and symptoms of an air embolism. What is the priority action by the nurse?

A. Place the client in high-Fowlers position B. Notify the physician C. Stop the total parenteral nutrition D. Place the client on the left side in the Trendelenburg position

Correct Answer: D

Rationale: For an air embolism, the left-side Trendelenburg position traps air in the right atrium, preventing it from entering the pulmonary circulation.

Question 2 of 5

A nurse who describes a client as 'that big headed egomaniac in room 3,' is legally liable for: -

A. Malpractice B. Assault C. Libel D. Slander

Correct Answer: D

Rationale: Slander involves spoken defamatory statements, such as this description, which harms the client's reputation.

Question 3 of 5

In the pre-operative period, the nurse taught the client some leg exercises. Now, in the immediate post-operative period, the nurse asks the client to do these exercises every two hours when awake. A family member wants to know the reason for these leg exercises. How should the nurse reply?

A. Leg exercises compress veins and prevent thrombi and emboli.' B. These exercises will make it easier to get up out of bed later.' C. The leg exercises will improve the quality of respirations.' D. Contractures will be prevented by doing these leg exercises.'

Correct Answer: A

Rationale: Leg exercises post-operatively promote venous return, reducing the risk of thrombus and embolus formation, which is a critical concern after surgery.

Question 4 of 5

While walking through a park, the nurse encounters a child with a swollen and reddened arm that hurts to move due to being struck with a baseball bat. The nurse splints the arm using two baseball bats. The child is transported to the hospital and later develops compartmental syndrome in the arm. Which statement regarding the nurse's liability in this case is accurate?

A. The nurse was negligent because the client developed compartmental syndrome due to the nurse's treatment at the scene. B. The nurse is protected by the Good Samaritan Act, which states that the nurse may give emergency care using good judgment. The development of compartment syndrome is a known complication of trauma and not necessarily indicative of negligence. C. The nurse is not protected by the Good Samaritan Act because the nurse was negligent in the care rendered. D. The nurse should have waited for help because the Good Samaritan Act states that the nurse is not obligated to assist.

Correct Answer: B

Rationale: The Good Samaritan Act protects healthcare providers who provide emergency care in good faith, even if the outcome is unfavorable. Compartment syndrome is a known risk of trauma and not necessarily a result of negligence.

Question 5 of 5

Which of the following types of stress is being experienced by a middle adult client who is stressed by the concerns of caring for young adults still in the home and her aging parents?

A. Situational B. Developmental C. Social D. Cultural

Correct Answer: B

Rationale: Developmental stress is related to the stages of life. Situational stress is an unexpected, sudden stressor, such as a job loss. Social and cultural stresses are widespread problems, such as poverty that affects a community as a whole.

A male client is receiving total parenteral nutrition suddenly demonstrates signs and symptoms of an air embolism. What is the priority action by the nurse?

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