A client with a history of heart disease is scheduled for cataract surgery when he tells the nurse that he's experiencing chest discomfort and shortness of breath. The nurse administers a nitroglycerin tablet sublingually, as ordered by the admitting physician, but fails to notify the physician, surgeon, or anesthesiologist of this development. If the client suffers a massive heart attack during surgery, the nurse could be held liable for which malpractice charge?
A. Failure to Act as a client advocate B. Failure to communicate with the client C. Failure to assess, monitor, and communicate D. Failure to protect from harm
Failure to assess, monitor, and communicate-rationale: the nurse is responsible for assessing and monitoring clients in her care. the nurse also has a responsibility to communicate with interdisciplinary health care members, particularly if the clients status changes. in this case, the change in the clients status could influence care during surgery and influence potential surgical outcomes. the courts have recognized failure to act as a client advocate in situations in which the nurse has failed to develop and implement nursing diagnoses and has failed to exercise good judgment on a clients behalf. failure to communicate with the client commonly refers to not adequately educating clients regarding care, procedures, or discharge instructions. failure to protect from harm occurs when health care providers fail to protect a client who is in a vulnerable state and unable to recognize potentially harmful situations.client needs category: safe, effective care environmentclient needs subcategory: management of carecognitive level: applicationreference: taylor, c., et al. fundamentals of nursing: the art and science of nursing care, 6th ed. philadelphia: lippincott williams & wilkins, 2008, p. 131.