The nurse caring for an adult client in the intensive care unit (ICU) is given a verbal prescription by a first-year medical resident

The nurse determines that the best course of action is to check with the attending healthcare provider before implementing the prescription. Which is the rationale for why the nurse is experiencing conflict regarding this situation?
A) The resident seems unsure of the prescription.
B) The nurse only takes prescription from attending healthcare providers.
C) The nurse does not like first-year residents.
D) The nurse may not trust the resident to make the best care decisions.


Answer: D

This type of conflict is most likely caused by a lack of trust in 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.

Nursing

You might also like to view...

A disoriented and agitated patient comes to the emergency department and admits using methamphetamine. Vital signs are blood pressure 162/98, heart rate 142 and irregular, and respirations 32. Which action by the nurse is most important?

a. Reorient the patient at frequent intervals. b. Monitor the patient's electrocardiogram (ECG) and vital signs. c. Keep the patient in a quiet and darkened room. d. Obtain a health history including prior drug use.

Nursing

To resolve a scheduling conflict, a nurse manager is using employment seniority. The nurse manager interprets this as

a. a win–win strategy. c. a lose–lose strategy. b. a win–lose strategy. d. a compromise.

Nursing

The nurse is calculating a dosage of medication for an infant. The nurse recognizes that the dosage is based on the infant's:

a. biological age. b. weight in pounds. c. gestational age. d. weight in kilograms.

Nursing

A depressed 21-year-old client has lived with his mother ever since the death of his father 3 years ago. After the client received a college acceptance, the mother repeatedly states, "That's wonderful. I'll be fine all alone."

How would the nurse interpret the mother's statements? A. The mother is withholding supportive messages. B. The mother is expressing denigrating remarks. C. The mother is communicating indirectly. D. The mother is using double-bind communication.

Nursing