An assistive personnel (AP) tells the nurse manager that she observed a nurse on the unit removing a small amount of morphine from syringes prior to administering the medication to clients. Which of the following actions should the nurse manager take first?
Approach the involved nurse to discuss the behavior.
Gather data about the nurse's work performance and attendance history.
Notify the risk manager.
Refer the nurse to the board of nursing diversion program.
The Correct Answer is C
Rationale:
A. Approaching the nurse directly to discuss the behavior is incorrect as the first step because allegations of drug diversion are serious and potentially criminal. Confronting the nurse without proper protocol could compromise evidence, legal investigation, and patient safety.
B. Gathering data about the nurse’s work performance and attendance is incorrect as the first action. While performance history may be relevant later, the immediate concern is patient safety and regulatory compliance, which requires prompt reporting through the proper channels.
C. Notifying the risk manager is correct because it follows institutional and legal protocols for handling suspected drug diversion. The risk manager is trained to coordinate an immediate and structured response, including investigation, documentation, and involvement of regulatory agencies if necessary. Reporting ensures that patient safety is protected, legal requirements are met, and evidence is preserved.
D. Referring the nurse to the board of nursing diversion program is incorrect as the first step. Referral may occur later depending on investigation outcomes, but direct reporting within the facility is required immediately to initiate an appropriate response and protect patients from potential harm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Utility is incorrect because the principle of utility focuses on maximizing overall benefit or the greatest good for the greatest number of people. While utility considers outcomes for many, the nurse’s action here is focused on protecting an individual’s privacy, not on weighing benefits for a group.
B. Justice is incorrect because justice refers to fairness, equity, and impartial treatment in healthcare, including allocation of resources or services. Maintaining the surgeon’s confidentiality is not an issue of equitable distribution or fairness, but rather an ethical responsibility to the individual.
C. Paternalism is incorrect because paternalism involves making decisions for someone else, potentially overriding their autonomy, because you believe it is in their best interest. In this case, the nurse is not making a decision for the surgeon; rather, the nurse is honoring the surgeon’s right to privacy and autonomy regarding personal medical information.
D. Nonmaleficence is correct because nonmaleficence embodies the ethical principle of “do no harm.” By refusing to disclose the surgeon’s medical diagnosis, the nurse is preventing potential harm, which could include professional consequences, discrimination, stigma, or emotional distress. Protecting confidential information is a key way that nurses uphold nonmaleficence, ensuring that their actions do not inflict harm on patients or colleagues.
Correct Answer is ["4"]
Explanation
Amoxicillin ordered: 320 mg
Available: 400 mg / 5 mL
Set up ratio:
320 mg × (5 mL / 400 mg) = 4 mL
Answer: 4 mL
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