What legally defines the scope of nursing practice?

Rationale:

A. A client is admitted to the hospital with a wound infection: While concerning, this is typically a healthcare-associated infection, not a sentinel event, unless it results from a clear and preventable error.

B. A nurse makes a derogatory comment about the client's religion: This is unprofessional behavior and may constitute a patient rights violation, but it is not classified as a sentinel event.

C. An ordered dose of medication was not given to the client: Missing a medication dose is a medication error, but it does not meet the definition of a sentinel event unless it results in severe harm or death.

D. A hip replacement was performed on the wrong leg: Performing a procedure on the wrong site is a sentinel event because it is a preventable, serious adverse event that results in significant harm and requires immediate investigation and response.

Rationale:

A. Deontology: Deontology is an ethical theory focused on duties and rules rather than actions reflecting trust or promises. It does not specifically describe the nurse’s behavior in this scenario.

B. Fidelity: Fidelity involves keeping promises and being faithful to commitments. By following up and providing the requested information, the nurse demonstrates fidelity by honoring the client’s trust and providing reliable support.

C. Non-maleficence: Non-maleficence emphasizes avoiding harm. While important in care, it does not directly relate to the nurse’s action of returning with an explanation.

D. Justice: Justice concerns fairness and equitable treatment. Providing information to a client does not specifically involve issues of fairness or distribution of resources.