The nurse working in an adult ICU is given a verbal order by a first-year medical resident. The nurse determines that the best course of action is to check with the attending physician before implementing the order because:
1. The nurse does not like residents.
2. The nurse may not trust the resident to make the best care decisions.
3. The resident seems unsure of the order.
4. The nurse only takes orders from attending physicians.
2. The nurse may not trust the resident to make the best care decisions.
Rationale:
This type of conflict is most likely caused by a lack of trust for the resident on the part of the nurse. Nurses who work in critical care learn to validate orders given by a resident because a mistake can mean the client's life. The nurse may not like residents, but that is not a reason to question their orders. There is no evidence here that the resident is unsure of the order given. Residents can give orders, preferably written, but the nurse is wise to confirm the order with the managing physician.
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