The nurse is working on a surgical unit, and overhears another nurse say, "That client is asking for pain medication again. He is constantly on the call bell, always reporting how severe his pain is, and I think he's just drug-seeking. I'm going to make him wait the full 4 hours before I give this medication again." Which action by the nurse is the most appropriate in this situation?
1. Ignoring the situation because the client in question is not this nurse's responsibility
2. Entering the nurses' station, reprimanding the nurse, and completing an incident or variance report
3. Pulling the second nurse aside and providing a reminder that the sensation of pain is subjective, and that professionals have a duty to believe clients' reports of their symptoms
4. Informing the charge nurse of what was overheard
3
Rationale 1: It is every nurse's responsibility to speak up and advocate for the client when situations arise that place the client at risk of incorrect treatment.
Rationale 2: The nurse should address the situation privately, and not in front of others at the nurses' station.
Rationale 3: It is every nurse's responsibility to speak up and advocate for the client when situations arise that place the client at risk of incorrect treatment.
Rationale 4: Informing the charge nurse would only be necessary if the nurse who was overheard did not respond constructively to the nurse's correction.
Global Rationale: It is every nurse's responsibility to speak up and advocate for the client when situations arise that place the client at risk of incorrect treatment. However, the nurse would address the situation privately, and not in front of others at the nurses' station. Informing the charge nurse would only be necessary if the nurse who was overheard did not respond constructively to the nurse's correction.
You might also like to view...
A nurse assesses a client admitted with a brown recluse spider bite. Which priority assessment should the nurse perform to identify complications of this bite?
a. Ask the client about pruritus at the bite site. b. Inspect the bite site for a bluish purple vesicle. c. Assess the extremity for redness and swelling. d. Monitor the client's temperature every 4 hours.
List the five steps of the nursing process in proper chronological order
What will be an ideal response?
The nurse is teaching a postmenopausal woman about nutrition. Which statement by the nurse is most appropriate?
a. "Be sure to eat cereal fortified with folic acid and B vitamins." b. "Make sure you take a calcium supplement every day." c. "Vitamin C is important for the postme-nopausal woman." d. "You can get all the iron you need in two daily meat servings."
The initial descent of the fetus into the pelvis to zero station is considered which cardinal movements of labor?
A) Flexion B) Engagement C) Extension D) Expulsion