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Case Study: Consider this scenario: A current School of Nursing faculty member recalls a recent post surgical scenario...
"As a 58 yr old pt with several ailments, I opted to have back surgery in Sept of 2020. I brought my Advanced Directive to the Admissions Clerk, who placed it in my file.While in the recovery room (PACU), my throat and right lung collapsed causing severe respiratory compromise. I recall everyone becoming very excited and calling for other staff, saying my left lung and heart were being 'crushed' as well.Long story short, I was intubated and had a chest tube inserted in a brisk attempt at refilling my lung. I remember saying, just after the airway was removed, that they weren't supposed to do all of that- I had an advanced directive. A male voice asked, 'Does she?', and a nurse responded, 'Yes. She does.'The following evening, suction was disconnected from the chest tube, and within a few hours, the lung collapsed again! Suction was reconnected to re expand the lung as soon as this issue was identified."
Question 1: Discuss the legal and ethical principles in this scenario. If you were the nurse in charge, what would you do?
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