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Friday, September 26, 2008

Kaplan Question Of the Day: Nclex Assessment Guide

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Which of the following actions, if performed by the nurse, would be considered negligence?

REWORDED QUESTION: What is an incorrect behavior?

STRATEGY: Think about the consequence of each action.

NEEDED INFO: Negligence is the unintentional failure of nurse to perform an act that a reasonable person would or would not perform in similar circumstances; can be an act of commission or omission. Standards of care: the actions that other nurses would do in the same or similar circumstances that provide for quality client care. Nurse practice acts: state laws that determine the scope of the practice of nursing.

CATEGORY: Analysis/Safe and Effective Care

(1) Obtaining a Guthrie blood test on a 4-day-old infant
Obtain after ingestion of protein, no later than 7 days after delivery

(2) Massaging lotion on the abdomen of a 3-year-old diagnosed with Wilm's tumor
CORRECT: manipulation of mass may cause dissemination of cancer cells

(3) Instructing a 5-year-old asthmatic to blow on a pinwheel
Exercise that will extend expiratory time and increase expiratory pressure

(4) Playing kickball with a 10-year-old with juvenile arthritis (JA)
Excellent moving and stretching exercise

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