A nurse is conducting a medication count of narcotics in the cart.

The nurse discovers an incorrect count and missing narcotic medication. Which ethical standard compels the nurse to report the missing medication?

Choice A rationale
This statement is more about describing the specific situation (the “D” in DESC) rather than expressing the nurse’s concerns (the “E” in DESC). It’s important to note that the DESC tool stands for Describe, Express, State, and Consequences. In this context, the nurse is merely stating what happened, not expressing how it made them feel or the impact it had on them.
Choice B rationale
This statement accurately represents the “E” component of the DESC tool, which stands for "Express your concerns"12. In this scenario, the nurse is expressing their feelings about the physician’s behavior and its impact on them. They’re stating how the physician’s actions made them feel uncomfortable, especially in front of other staff members and the patient. This is a crucial step in the DESC process as it allows the individual to express their feelings and concerns about the situation.
Choice C rationale
This statement is more aligned with the “S” component of the DESC tool, which stands for "State other alternatives"12. Here, the nurse is suggesting a different way for the physician to express their concerns in the future. While this is an important part of the DESC process, it does not represent the “E” component.
Choice D rationale
This statement represents the “C” component of the DESC tool, which stands for "Consequences stated"12. In this context, the nurse is outlining the potential outcomes if they cannot agree on an alternative approach. While this is a crucial step in the DESC process, it does not represent the “E” component.

Choice A rationale
Designating a single area in the home for smoking while using oxygen is not a safe practice. Oxygen supports combustion and can cause materials to ignite more easily and burn faster, increasing the risk of fires and severe burns.
Choice B rationale
While bright patterns on throw rugs may make them more visible, they can still pose a tripping hazard, especially for older adults or individuals with mobility issues.
Choice C rationale
Installing carbon monoxide detectors throughout the home is a key safety measure. Carbon monoxide is a colorless, odorless gas that can cause sudden illness and death if inhaled.
Choice D rationale
Administering ipecac to induce vomiting after ingesting poison is not recommended. It can cause harm and is not effective for all types of poisonings.