A nursing student has made an error in judgment regarding the ...

[justinmsk]

A nursing student has made an error in judgment regarding the administration of a medication to a child resulting in an extended length of stay in the hospital for the child. The instructor tells the student that:
 
  1. You may be sued by the hospital for the extra care cost to the client..
   2. You have compromised the standards of nursing..
   3. You have placed the nursing student program in danger..
   4. You have set a bad example for the other students..

Question 2

A client with chronic renal failure asks the nurse why he is anemic. Which of the following responses by the nurse is best?
 
  1. The increased metabolic waste products in your body depress the bone marrow..
   2. We will need to review your dietary intake of iron-rich foods..
   3. There is a decreased production by the kidneys of the hormone erythropoietin..
   4. It is most likely that you have hereditary traits for the development of anemia..

[SAUXC]

Answer to Question 1

2. You have compromised the ethics of nursing..

Rationale:
Student nurses are held to the same standards and ethics that nurses are. Students are required to know the standards and to follow them. This student has compromised nursing ethics. Hospitals do not generally sue nurses to recover money for extended care due to an error. It is not likely that the teaching program is in danger as people do make mistakes and hospitals do rely on nursing schools to help provide care to clients. It is not likely that the other students are apt to follow the example of a student who fails to follow policy.

Answer to Question 2

3. There is a decreased production by the kidneys of the hormone erythropoietin..

Rationale:
Anemia is common in clients with renal failure. Among the factors causing the anemia are decreased production of erythropoietin by the kidneys and shortened red blood cell (RBC) life. Erythropoietin is involved in the stimulation of the bone marrow to produce RBCs. Metabolic wastes do not suppress the bone marrow. Diet and hereditary do not factor into the production of erythropoietin.