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If the nurse were to administer the Zyrexa in addition to the scheduled dose of Ativan, she would be using a form of chemical restraint and thus be trampling on the patient's rights. According to protocol, this could only be done if the patient was observed by a physician within an hour of the dispensing of the drug. Yet, how is one able to control the situation otherwise? Where do the rights of the patient as defined by law end and right of the clinicians to observe safety for them and the patient begin? It is a difficult question.
The moral considerations in this situation can have two directions...
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