a client is refusing to stay in the hospital because he does not agree with his healthcare treatment plan the nurse stops the client from leaving due

NCLEX-PN

Nclex PN Questions and Answers

1. A client is refusing to stay in the hospital because he does not agree with his healthcare treatment plan. The nurse stops the client from leaving due to concern for his health. Which of these legal charges could the nurse face?

A. False imprisonment, as the nurse is not allowing the client to leave as he has decided to.
B. Malpractice, as the nurse is intentionally keeping the patient from making his own decisions, thus violating that nursing duty.
C. Invasion of privacy, as the nurse is getting involved in the patient's private decisions regarding healthcare.
D. Negligence, as the nurse ignored the client's right to choose regarding his healthcare.

Correct answer: A

Rationale: Refusing to let a client leave against medical advice (AMA) is a form of false imprisonment. In this scenario, the nurse is restricting the client's freedom of movement by preventing him from leaving the hospital, even though he has expressed his wish to leave. False imprisonment is a legal charge the nurse could face in this situation. The other options are incorrect: - Malpractice refers to professional negligence or failure to provide adequate care, not allowing a patient to make their own decisions. - Invasion of privacy involves disclosing confidential information without consent, not preventing a patient from leaving. - Negligence is the failure to take reasonable care, but it does not specifically address the act of restricting a patient from leaving against their wishes.

2. The nurse is transferring a client from a wheelchair to the bed. Which is the correct procedure?

A. Pull the client toward you, and pivot him on the unaffected limb.
B. Pull the client toward you, and pivot him on the affected limb.
C. Push the client toward the bed, and pivot him on the affected limb.
D. Stand the client on both legs, and push him toward the bed.

Correct answer: A

Rationale: When transferring a client from a wheelchair to the bed, the correct procedure is to pull the client toward you, which reduces workload force. By pivoting the client on the unaffected limb, strength is maintained to support the affected limb while moving towards the bed. Choice A is correct because it ensures a safe and effective transfer technique. Choices B, C, and D are incorrect as they involve incorrect positioning and movements that could potentially harm the client or increase the risk of injury. Pulling the client towards you puts less strain on your back and reduces the risk of injury. Pivoting on the unaffected limb ensures better support for the client's affected limb during the transfer process.

3. What is the purpose of the hydraulic lift (Hoyer lift)?

A. To assist clients who have had orthopedic surgery.
B. To assist clients who are unable to stand and extremely obese clients.
C. To assist clients of all ages in a hospital setting.
D. To assist clients with special needs.

Correct answer: B

Rationale: The purpose of the hydraulic lift, also known as the Hoyer lift, is to facilitate safe transfers for clients who cannot stand or are extremely obese. It is specifically designed for assisting clients who are unable to stand and for those who are too heavy for healthcare workers to lift safely. Choice A is incorrect because the primary purpose of a hydraulic lift is not related to orthopedic surgery. Choice C is incorrect because it is too broad and does not capture the specific use of the hydraulic lift. Choice D is incorrect because the lift is not solely for clients with special needs but rather for those who cannot stand or are extremely obese.

4. Which of the following tasks are appropriate for an LPN to perform?

A. Adjusting the cervical traction device of a 68-year-old client as instructed by the charge nurse.
B. performing operation on a woman in labour
C. Assessing a 36-year-old man newly admitted for chest pain.
D. Obtaining an occult blood sample from a 16-year-old client with ulcerative colitis.

Correct answer: D

Rationale: Tasks appropriate for an LPN to perform include teaching, obtaining samples, and documenting. LPNs can educate clients on care practices, such as teaching a new mother how to care for her baby. Obtaining samples, like an occult blood sample, falls within the scope of an LPN's responsibilities. Assessments, especially initial assessments, should be conducted by a registered nurse or physician, making option C incorrect. Adjusting devices like a cervical traction device should be done based on direct orders from prescribing providers, not charge nurses, making option A inappropriate for an LPN's role.

5. When managing nausea related to Morphine epidural analgesia, the nurse should administer:

A. Indomethacin
B. Codeine
C. Ibuprofen
D. Compazine

Correct answer: D

Rationale: When managing nausea related to Morphine epidural analgesia, Compazine is the appropriate medication to administer. Compazine, also known as prochlorperazine, is commonly used to treat nausea and vomiting. It works by affecting certain chemicals in the brain that trigger nausea and vomiting. Choices A, B, and C are incorrect because Indomethacin, Codeine, and Ibuprofen are not typically used to manage nausea associated with Morphine epidural analgesia.