The nursing student observes that his client has no relief from his pain after receiving the intravenous pain medication administered by the staff Registered Nurse (RN). The RN takes frequent breaks using the restroom and has constricted pupils
The nursing student noted that he saw an empty syringe in the staff restroom. Using the problem-solving process, the next best action to take is to:
A) report the observations to his clinical instructor and follow the chain of command to report the issue within the institution according to the institution's policy.
B) gather as many facts about the incident as possible: what additional symptoms of narcotic use does the RN exhibit, do other clients she is caring report they are in pain, and are there multiple occasions of wasting narcotics by the RN?
C) examine alternative reasons for the findings, such as the RN is in bright light constricting her eyes, and the syringe used to administer the medicine to the client had ìMorphineî on the label and the one in the trash was a regular unmarked syringe.
D) evaluate the consequences of the action the nurse has takenóclient's safety is protected, and the affected chemically dependent nurse may receive the help she needs.
Ans: B
Feedback:
Using the problem-solving process, the nursing student needs to gather additional information about the incident, such as what additional symptoms of narcotic use does the RN exhibit, do other clients she is caring report they are in pain, and are there multiple occasions of wasting narcotics by the RN. Next, the student needs to examine alternative reasons for the findings. Next, the responsible action to take is to report the observations to the clinical instructor and follow the chain of command to report the issue, according to policy. The last measure is to evaluate the consequences of the action.
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