Question

64.a provider prescribes a brief period of strict bed rest for a client who is postoperative. the client calls the nurse and asks to use the bedside commode. knowing that the nurse from the previous shift allowed the client to get out of bed and use the commode, she assists the client to the commode. the client sustains an injury to the operative area while out of bed. which of the following types of tort has the nurse committed?
a. battery
b. negligence
c. libel
d. assault
65.a nurse is caring for a client who came to the emergency department with abdominal distention and is now on the medical - surgical unit with an ng tube in place to low gastric suction. the client reports anxiety, discomfort, and a feeling of bloating. which of the following actions is the nurses priority?
a. request a prescription for a medication to ease the clients anxiety.
b. irrigate the ng tube with 100 ml of sterile water.
c. check to see if the suction equipment is working.
d. remove and reinsert the ng tube.
66.a nurse in a long - term care facility sees a client who is choking. which of the following data should the nurse identify as requiring an abdominal thrust?
a. the client is grasping his abdomen.
b. the client is hyperventilating.
c. the client is coughing.
d. the client cannot speak.
67.a nurse is reinforcing teaching with a client who has strained her back muscles while preparing to move to a new apartment. which of the following instructions should the nurse include?
a. relax her abdominal muscles when she lifts an object.
b. twist at the waist when she moves an object to one side.
c. hold an object away from her body as she lifts it.
d. bend at the knees when picking up an object.

Explanation:

• Question 64:
• Battery is intentional physical contact without consent.
• Negligence is failure to act as a reasonable person would. Here, the nurse knew the client was on strict bed - rest but still assisted out of bed, failing to follow the standard of care (provider's order), which is negligence.
• Libel is written false statements.
• Assault is the threat of harmful contact.
• Question 65:
• If the suction equipment is not working, the NG tube (nasogastric tube) will not effectively relieve the abdominal distention. Checking the suction equipment is the priority as it addresses the root cause of the client's symptoms (distention, discomfort, etc.). Requesting an anxiety medication (A) does not address the physical issue. Irrigating the tube (B) may be done after checking suction. Removing and reinserting (D) is a more invasive step and not the first action.
• Question 66:
• The abdominal thrust (Heimlich maneuver) is indicated when a person cannot speak (D) as it means there is a complete airway obstruction. Grasping the abdomen (A) can be a sign of choking but not the definitive sign for abdominal thrust. Hyperventilating (B) and coughing (C) indicate some airway patency.
• Question 67:
• Bending at the knees (D) when picking up an object uses the leg muscles (larger, stronger muscles) and helps maintain a straight back, reducing strain on the back muscles. Relaxing abdominal muscles (A) when lifting is incorrect as abdominal muscles provide support. Twisting at the waist (B) and holding an object away from the body (C) increase the risk of back strain.

Answer:

• 64. B. Negligence
• 65. C. Check to see if the suction equipment is working.
• 66. D. The client cannot speak.
• 67. D. Bend at the knees when picking up an object.