So today I had an interview for a med/surg/tele unit. The first clinical question I was asked was this:
"You receive report from the night shift that a pt was very agitated very restless throughout her shift, she administered morphine and Ativan to relieve the agitation. You check on your patient and they are unresponsive with shallow, rapid respirations. What actions do you immediately take?"
I answered as follows:
"I would assess the pt color, sats and determine if I can leave the patient, if the patient is maintaining O2 sats and can be left alone I would immediately contact the physician and try to obtain a order for narcan. If I determine the patient can not be left alone and is not maintaining O2 sats I would call for rapid response team and grab my crash cart and bag the pt,"
The second question they asked was this:
"The family comes on and is very upset that their family member was overdosed and they are threatening to sue, what do you do?"
"I would try to educate the family that the dis eye patient was given was prescribed based on his age,weight, etc., however this ptay not be able to tolerate morphine as the average pt can. This has been noted and the physician is informed as well as all the nurses will be notified and this is not something that will happen in the future."
Are these answers even close? Truly, I don't ever feel like I know what to do and I'm frustrated with nursing in general. I just don't feel like I get it and don't feel like I have the critical thinking skills to be able to determine the appropriate actions in these situations. Help! Thank you in advance!