The patient presents to the clinic with reports of irritability, ...

[JGIBBSON]

The patient presents to the clinic with reports of irritability, being sleepy during the day, not being able to fall asleep, and being tired. Select the most appropriate nursing diagnosis.
 
  a. Anxiety
  b. Fatigue
  c. Sleep deprivation
  d. Insomnia

Question 2

An RN interprets a scribbled medication order by the attending physician as 25 mg, administers the dose to the patient, and then discovers that the dose was, in fact, 15 mg. Who would ultimately be held responsible for the error?
 
  a. The attending physician
  b. The assisting resident
  c. The pharmacist
  d. The nurse

[amcvicar]

Answer to Question 1

D
Insomnia is experienced when the patient has difficulty falling asleep, frequent awakenings from sleep, and/or short sleep or nonrestorative sleep. It is the most common sleep-related complaint and includes symptoms such as irritability, excessive daytime sleepiness, not being able to fall asleep, and fatigue. Anxiety is a vague, uneasy feeling of discomfort or dread accompanied by an autonomic response. Fatigue is an overwhelming sustained sense of exhaustion with decreased capacity for physical and mental work at a usual level. Sleep deprivation is a condition caused by dyssomnia and includes symptoms caused by illness, emotional distress, or medications.

Answer to Question 2

D

Feedback
A The attending physician could be included in the lawsuit, but the nurse would be ultimately held responsible for the error.
B The assisting resident would not be ultimately held responsible for the error, as the resident did not administer the inaccurate dose.
C The pharmacist could be included in the lawsuit, but the nurse would ultimately be held responsible for the error because it was the nurse who administered the inaccurate dose.
D A nurse carrying out an inaccurate or inappropriate order may be legally responsible for any harm suffered by the patient. The nurse should have the physician clarify the order when the writing is hard to read.

[JGIBBSON]

Thanks

[amcvicar]

Welcome