Case scenario for bioethical consideration. Nurse Monette

Case scenario for bioethical consideration. Nurse Monette attended to the call of Mrs. Abdul who complained of occipital headache, nausea and blurring of vision. Assessment of the vital signs revealed the following findings: BP 180/100mmhg Pulse 98 bpm RR 22 breaths/min. Temp. 37.4 oC. Based on these data, Nurse Monette titrated the hydralazine drip from 40mgtts/ml to 60 mgtts/ml. Thereafter, she immediately referred to the attending Physician and given the following orders. 1. Administer 10 mg of Hydralazine IV. Stat. 2. Observe for seizure 3. Monitor BP q 30 minutes 4. Refer as needed. The orders made were carried out and after 2 hours The AP came to see Mrs. Abdul. She was asked about the BP monitoring record of the client which she missed to make although she had checked the BP at ordered interval. When asked about the flow of Hydralazine she informed the AP about the titration she did prior to referral. The AP inquire if there is a standing order regarding the titration which she replied as “none “. Based on the given situation, answer the following guide questions: 1. What safety precautions should have been initiated by nurse Monette? 2. What moral principles are shown in the situation? 3. What right in drug administration were not observed by nurse Monette 4. What nursing responsibilities in relation to drug (hydralazine) administration was not done by nurse Monette?

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