Case Study Week 2 Legalities in Nursing.docx - Running head LEGALITIES IN NURSING 1 Nichelle Boyton age 92 has been admitted to the hospital for

Case Study Week 2 Legalities in Nursing.docx - Running head...

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Running head: LEGALITIES IN NURSING 1 Nichelle Boyton, age 92, has been admitted to the hospital for observation after complaint of chest pain. She wears hearing aids. In report the oncoming nurse is told that Mrs. Boyton “is confused” and “isn’t an accurate informant.” Her vital signs measured one hour ago include: o BP 130/84 o P 64 regular o RR 18 unlabored o T 98.4 F. Her AM medications are due including: o Lasix 20mg PO QD o ASA EC 81mg PO QD o Digoxin 0.125mg PO AM o Famotidine 20mg PO BID o Potassium Chloride 20 mEq PO AM o Captopril 50mg PO TID As the nurse names each medication aloud while handing them to the patient, Mrs. Boyton points to the Captopril and says, “I don’t take that one.” 1. How should the nurse respond to Mrs. Boyton?
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LEGALITIES IN NURSING 2 Mrs. Boyton’s nurse should first ask Mrs. Boyton if she takes if she believes she doesn’t take Captopril or if she does but her Captopril looks different. If Mrs. Boyton acknowledges taking Captopril that looks different that could indicate a difference manufacturer and the point of confusion. If Mrs. Boyton insists that she does not take Captopril then the nurse should ask her if she takes Capoten. Capoten is the name of the discontinued brand name for Captopril (Vallerand and Sanoski, 2019, p. 163). Brand names are better known by the general public than generic names because of the complexity generic names have (Burchum and Rosenthal, 2019). If these questions do not resolve the issue the nurse needs to confirm with Mrs. Boyton’s electronic health record. It is important, especially when communicating with an elderly patient that may be confused to remain calm and to speak clearly (Lewis et al., 2017). 2. What actions should the nurse take to confirm whether or not Mrs. Boyton is to take the Captopril? The “Right Dose” is one of the five rights to administrations (Burchum and Rosenthal, 2019), and so it is imperative that Mrs. Boyton’s nurse confirms she has the correct medication. The first thing Nancy, Mrs. Boyton’s nurse should do is verify Mrs. Boyton’s medications in her EHR. The Electronic Health Record is shared among all members of Mrs. Boyton’s healthcare team and her medication list should be in there (Lewis et al, 2017, p. 14). If the EHR matches Nancy’s list of medications, she should then confirm the ordered medication with Mrs. Boyton’s care provider.
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LEGALITIES IN NURSING 3 The nurse confirms the order and explains to Mrs. Boyton that the dose is different than what she took at home. Mrs. Boyton is satisfied with the answer and takes the tablet. As the nurse leaves the room, she lowers the bed to the lowest level, enables the bed alarm and instructs Mrs. Boyton to use the call light if she needs to get up.
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  • Summer '18
  • Laura Weissback
  • Nursing

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