nursing questions
Answer questions the questions below. Atleast 4 sentences for each question. 7 questions in total. No use of ChatGpt or any AI. Will check and report if suspected. May use 2 outside scholarly sources to support your answers.
Jack is a 57-year-old computer programmer. He went to the clinic for his annual exam,
and it was determined that it was time for his pneumonia vaccination. His
provider, Karen (a nurse practitioner), was accompanied that day, by a medical
student named Alice. Karen indicated that this was a routine injection and that if
Jack had no objections, Alice would be giving the injection. Jack did not object and
rolled up his sleeve. Karen began charting the visit on the computer in the exam
room. Jack commented that there was some discomfort during the injection but
was assured by Karen that this was normal and Jack left the clinic.
Two weeks later, the pain in Jack’s shoulder had increased to the point that it
restricted his movement making it difficult to work and disturbing his sleep.
QUESTIONS:
1. What concerns do you have regarding the information given here?
2. Who is responsible for the care provided by the medical student?
3. What could have happened to cause the patients discomfort?
4. What action should be taken now?
Part 2
Remember Jack, the client who experienced increasing pain at injection site after
receiving his pneumonia vaccine by a medical student? He made an appointment to
see the doctor at the clinic and was found to have subacromial bursitis and a frozen
shoulder. He discussed with the doctor his feeling that this pain was related to the
pneumonia shot he received. He went on to file a claim against the clinic stating
that the student was not adequately supervised.
The Rest of the Story
On expert evaluation, it was found that the vaccine had been administered into the
joint instead of intramuscularly. The NP failed to supervise the medical student
sufficiently and assess the competence of the injection technique. The patient’s
medical records were insufficient stating only that the injection was given in the left
arm. There was no information on the batch number of the vaccine, and it was not
clear who had administered the injection. The patient required steroid treatment
and decompression surgery to treat the injury. This is an example of inappropriate
delegation, and the NP remains accountable and responsible for the injury that
resulted.
QUESTIONS:
1. What steps could have been taken to prevent this injury?
2. What reason can you identify for these steps to be disregarded?
3. List the potential problems for the staff and the client that you can identify in
this case study
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