A nurse is preparing an in-service for a group of nurses about malpractice issues in nursing. Which of the following examples should the nurse include in the teaching as an example of malpractice?
A.
Placing a yellow bracelet on a client who is at risk for falls
B.
Leaving a nasogastric tube clamped after administering oral medication.
C.
Administering potassium via IV bolus
D.
Documenting communication with a provider in the progress notes of the client’s medical record.
The correct answer is:
B. Leaving a nasogastric tube clamped after administering oral medication
Explanation:
- Leaving a nasogastric tube clamped after administering oral medication: This action is an example of malpractice because it can lead to serious complications such as aspiration or inadequate delivery of the medication. In nursing, malpractice refers to professional negligence where the standard of care is not met, resulting in harm to the patient. Failing to ensure that a nasogastric tube is properly unclamped after medication administration can result in negative outcomes, making it an example of malpractice.
Here’s why the other options are less relevant:
- A. Placing a yellow bracelet on a client who is at risk for falls: Placing a bracelet to indicate fall risk is a precautionary measure and is part of a safety protocol. This action is generally considered a standard safety practice, not an example of malpractice.
- C. Administering potassium via IV bolus: Administering potassium via IV bolus can be appropriate or inappropriate depending on the clinical context and guidelines. However, it requires careful consideration of dosage and rate to avoid complications. Without additional context indicating a breach in standard care, this action alone is not definitively an example of malpractice.
- D. Documenting communication with a provider in the progress notes of the client’s medical record: Proper documentation of communication with providers is a standard practice in nursing and is important for continuity of care. It is not considered malpractice; rather, it is a part of appropriate patient record-keeping.
In summary, leaving a nasogastric tube clamped, leading to potential harm, is the best example of malpractice among the options provided