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Case Study Nursing

Decent Essays

1. The nurse is asked to implement a new, complex, and invasive procedure and is concerned that this may violate the state’s nurse practice act.
A. What are the logical steps that the nurse should take to clarify the legal scope of nursing practice in this case?
Nurse should know the her states rules and regulations and her scope of practice.
B. In what order should the nurse proceed?
Nurse should fallow the policy and procedure according to facility regulations. 2. A new graduate nurse is working in the pediatric intensive care unit. She has been employed a total of 5 months, 3 of which were spent in orientation. Her patient, a child with a cardiac defect and pneumonia, has a very unstable condition and has needed an increasing amount …show more content…

What duty, if any, did the charge nurse have to the child?
D. Would the physician’s knowledge of the child’s condition serve as a defense against a claim of nursing negligence, particularly because the new graduate had spoken to the physician four times? 3. A nurse who works the night shift in an emergency department is told to prepare a pregnant woman in labor for transport to a high-risk perinatal center. The nurse is aware that an “antidumping” law governs transfer of emergency department patients and is unsure whether this transport is lawful.
A. How can the nurse quickly determine the lawfulness of this transport at 3 o’clock in the morning?
B. What resources should the nurse access for information?
C. How would the nurse prioritize the process of obtaining clarification? 4. A nurse in an ambulatory setting administers a prescribed antibiotic. The “five rights” of medication administration are observed. However, the patient, who has no known allergies, experiences an anaphylactic reaction. The patient is skillfully resuscitated and is promptly transported to the nearest hospital. Unfortunately, he suffers permanent hypoxic brain damage and severe disability. The family sues the clinic, the physician, and the …show more content…

At change of shift, a nurse who is working days in a nursing home is told by the night nurse, “Mr. Jones is always tied in a vest restraint at night, just to make sure he doesn’t get out of bed and fall, but he’s really upset. He just doesn’t understand it’s for his own good.” The nurse quickly reviews Mr. Jones’s record. He is noted to be a competent, compliant adult, without a psychiatric history or evidence of mental disorientation. He takes no medications that would alter his mentation. When the nurse enters the room, Mr. Jones is weeping. He states, “I feel like a criminal being tied up. I’ve urinated in my bed because no one answered my call light. I’m so

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