A registered nurse in the United States is caring for a patient who reports severe pain after a procedure. The nurse gives the prescribed analgesic, but the patient later reports that the pain is unchanged. What should the nurse do?
Correct answer: B. Reassess the patient and notify the provider of inadequate relief
- A. Document that the prescribed medication was ineffective
- B. Reassess the patient and notify the provider of inadequate relief
- C. Tell the patient that discomfort is expected after procedures
- D. Give an additional dose without checking the prescription
Explanation
The nurse must reassess the patient and communicate an unresolved problem to the provider for further evaluation. Documenting only the medication administration does not address the continuing symptom, and an extra dose without authorization is unsafe.
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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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