NCLEX-RN

Category - Care Management

A nurse should report the following cases to designated authorities except:
  1. A 5-year old child with multiple lesions in different stages of healing
  2. An 88-year old client with bed sores and dry mucus membranes
  3. A 20-year old with tuberculosis
  4. A staff member who forgot to medicate a myasthenia client, causing myasthenia crisis
Explanation
Answer: D -The nurse is not mandated to report to the authorities about the negligent action of a staff member. It has to be reported to the nursing supervisor. The nurse has to report child abuse and communicable diseases to Children’s Services and the Centers for Disease Control, respectively. While state law varies as to elder neglect, the nurse should advocate for the client by social worker referral if authority contact is not required.
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