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A nurse forgets to administer a medication for the one ordered
client's diuretic and the 4. Failure to follow a direct order by a physician
client experiences an episode
of pulmonary edema. The
charge nurse would consider
the medication error to
constitute negligence
because the situation
contains which element?
1. Purposeful failure to perform a
health care procedure
2. Unintentional failure to
perform a health care
procedure
3. Act of substituting a different
,Answer: 2 description of the situation in the question.
Rationale: Negligence is the Failure to follow a direct order does not fit the
unintentional failure of an description in the situation in the question.
individual to perform or not Cognitive Level: Applying
perform an act that a Client Need: Management of Care
reasonable person would or Integrated Process: Nursing
would not do in the same or Process: Assessment Content
similar circumstances. A Area: Fundamentals
purposeful failure to Strategy: Two options are opposites, which is a
perform a procedure would clue that one of them may be
be the opposite of correct. Choose unintentional failure to carry
negligence, which is out a procedure over purposeful failure
unintentional. Substituting a because it matches the definition of
different negligence.
medication does not fit the
A client asks why a diagnostic explanation, the nurse is acting under which
test has been ordered and the principle?
nurse replies, "I'm unsure but
will find out for you." 1. Nonmaleficence
When the nurse later returns
2. Veracity
and provides an
3. Beneficence
,4. Fidelity Answer: 4
Rationale: Fidelity means being faithful to
agreements and promises. This nurse is
acting on the client's behalf to obtain
needed information and report it back to
the client. Nonmaleficence is the duty to do
no harm. Veracity refers to telling the truth
for example, not lying to a client about a
serious prognosis. Beneficence means
doing good, such as by implementing actions
(e.g. keeping a salt shaker
out of sight) that benefit a client (heart
condition requiring sodium-restricted diet).
Cognitive Level: Understanding
Client Need: Management of Care
Integrated Process: Nursing
Process: Implementation Content
Area: Fundamentals
Strategy: Use the process of elimination. The
correct answer is the one that
matches the description in the stem; that is, the
nurse made a promise to a client and kept it,
, which constitutes fidelity.