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Britney is a nurse on the orthopedic unit at a local hospital. She agrees to cover for Paul, another nurse on the unit, during his lunch break. The nursing assistant tells Britney that one of Paul’s patients, 62-year-old female 2 days postoperative for a hip replacement, is complaining of pain in the hip. Britney reviews the medication sheets, finding an order for 50 mg of meperidine every 4 to 6 hours IM or IV push. She notes that the patient received hydrocodone/acetaminophen 10 mg 3 hours ago, with no pain relief. Britney decides to give the meperidine intravenously for better control of the pain. She administers the medication, and 15 minutes later the patient is unable to breathe because of swelling of her throat. The patient is transferred to the intensive care unit and makes a full recovery. Britney reviews the chart, which documents the patient’s allergy to meperidine. The patient had not received the medication during the hospital stay until it was given by Britney. Who has the duty to provide reasonable care in this scenario? Does Paul retain accountability? Did Britney assume accountability? Cite a scholarly reference with page numbers from Nursing Today textbook to support your response. Was there a process problem leading to the problem? Explain in detail. How does professional duty apply in this scenario and how would a breach of professional duty be proved in this scenario? Explore intentional versus unintentional breaches and include a reference to support your response. What damages might the plaintiff claim as a result of the action? Which type of liability might apply in this scenario? Include a scholarly reference.
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