TF is an 18-month-old boy who was admitted to your hospital
for failure to thrive and losing 6 lbs.
You have found that he has extreme blockage throughout his GI system
with severe impaction throughout. He is
in a great deal of pain and is screaming.
His parents are adamant that they do not want treatments due to
religious beliefs. They have stated that
the boy’s grandfather, an elder in their church, is on his way to pray over the
boy and heal him.
What type of drug should you prescribe based on your
patient’s diagnosis? How much of the drug should the patient receive? How often
should the drug be administered? When should the drug not be prescribed? Are
there individual patient factors that could create complications when taking
the drug? Should you be prescribing drugs to this patient? How might different
state regulations affect the prescribing of this drug to this patient?
These are some of
the questions you might consider when selecting a treatment plan for a patient.
As an advanced practice nurse prescribing drugs, you are
held accountable for people’s lives every day. Patients and their families will
often place trust in you because of your position. With this trust comes power
and responsibility, as well as an ethical and legal obligation to “do no harm.”
It is important that you are aware of current professional, legal, and ethical
standards for advanced practice nurses with prescriptive authority.
Additionally, it is important to ensure that the treatment plans and
administration/prescribing of drugs is in accordance with the regulations of
the state in which you practice. Understanding how these regulations may affect
the prescribing of certain drugs in different states may have a significant
impact on your patient’s treatment plan. In this Assignment, you explore
ethical and legal implications of scenarios and consider how to appropriately
To Prepare
Review the Resources for this module and consider the legal
and ethical implications of prescribing prescription drugs, disclosure, and
Review the scenario assigned by your Instructor for this
Search specific laws and standards for prescribing
prescription drugs and for addressing medication errors for your state or
region, and reflect on these as you review the scenario assigned by your
Consider the ethical and legal implications of the scenario
for all stakeholders involved, such as the prescriber, pharmacist, patient, and
patient’s family.
Think about two strategies that you, as an advanced practice
nurse, would use to guide your ethically and legally responsible
decision-making in this scenario, including whether you would disclose any
medication errors.

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