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chinguun chinguun
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6 years ago
The physician made a calculation error that lead to the patient receiving a serious medication error. This error was overlooked by the pharmacist and the nurse who administered the dose as ordered.
 
  The patient questioned the medication saying, This doesn't look like I was taking at home, but took the medication anyway when the nurse said it was a generic form of the drug. Who holds liability in this situation? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
  Select all that apply.
  1. The physician
  2. The pharmacist
  3. The nurse
  4. The patient
  5. The drug manufacturer



A confused patient frequently calls out for help throughout the shift. When nursing staff respond to the call, the patient is unable to explain what is needed. What action should be taken by the nurse?
 
  1. Continue to respond and attempt to reorient the patient.
  2. Restrain the patient in soft wrist restraints.
  3. Move the call bell out of the patient's reach.
  4. Chemically restrain the patient with a mild sedative.



Which options reflect a general criterion for restraining a patient?
 
  Note: Credit will be given only if all correct choices and no incorrect choices are selected.
  Select all that apply.
  1. The patient's inability to care for himself or herself
  2. The patient's verbally abusive but nonthreatening behavior toward others
  3. The patient's immediate ability to harm self
  4. The patient's refusal to take psychotropic medications as prescribed
  5. The patient's threat to harm another patient



Hostile or angry patients present unique nursing challenges from a legal perspective. Which basic interventions can a nurse take when caring for a hostile or angry patient?
 
  Note: Credit will be given only if all correct choices and no incorrect choices are selected.
  Select all that apply.
  1. Allow the patient to be alone and have long periods of quiet time.
  2. Spend additional time with the patient, showing that he or she is important.
  3. Ensure that family members are always present to calm the patient.
  4. Sedate the patient to diffuse further encounters with the patient.
  5. Include the patient in discussions of treatment plans.
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Replies
wrote...
6 years ago
1,2,3
Rationale: The physician holds liability for making the original calculation error.

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1
Rationale: Since there is no indication that this patient is in danger of getting out of bed or otherwise getting injured, the correct answer is to keep attempting reorientation.

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3,5
Rationale: Inability to care for oneself is not a criterion for use of restraints.

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2
Rationale: Isolating the patient with time alone can exacerbate the problem of aggression.
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