A registered nurse in the United States believes a provider's prescription is unsafe because the patient's documented allergy is relevant. The provider dismisses the concern. What should the nurse do next?
Correct answer: B. Hold the prescription and escalate the concern through the chain of command
- A. Administer the prescription because the provider wrote it
- B. Hold the prescription and escalate the concern through the chain of command
- C. Ask the patient whether the allergy is severe enough to matter
- D. Remove the allergy from the record to prevent confusion
Explanation
The nurse should withhold an apparently unsafe prescription and escalate the concern until it is resolved. Administering it despite a known risk can harm the patient, while altering the record or relying on the patient to judge safety is inappropriate.
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About US Legal and Ethical Nursing Practice
US nursing law and ethics include state nurse practice acts, scope of practice, standards of care, negligence, malpractice, documentation, confidentiality under HIPAA and informed consent. Ethical reasoning applies autonomy, beneficence, nonmaleficence, justice and fidelity to conflicts such as refusal of treatment, advance directives, privacy breaches and mandatory reporting, which are not the same as legal liability.
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