Answer to Question 1
A
A nurse carrying out an inaccurate or inappropriate order may be legally responsible for any harm suffered by the client and may be found negligent.
Good Samaritan laws will not protect the nurse in this situation. Good Samaritan laws are for providing care at the scene of an accident. The nurse should refuse to administer the medication when he or she knows it is wrong.
Developing a good relationship with the client is important, but this will not protect the nurse from legal liability for providing incompetent care.
As having malpractice insurance does not help protect the client from harm, the nurse practitioner should refuse to administer the medication.
Answer to Question 2
D
The wound should be packed only until the packing material reaches the surface of the wound. Wound packing that overlaps onto the wound edges may cause maceration of the tissue sur-rounding the wound.
The wound should be packed to the upper edge of the wound to prevent dead space and the formation of abscesses.
The gauze should be saturated with the prescribed solution, wrung out, unfolded, and lightly packed into the wound.
The wound should not be packed too tightly. Over-packing the wound may cause pressure on the tissue in the wound bed.
Nurse Sandy
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NCC MERP Index for categorizing medication errors algorithm.
NCC MERP Index for categorizing medication errors.