A charge nurse at a long-term care facility ensures that the workload is distributed equally among staff when making assignments.
Which of the following ethical principles is the nurse upholding?

Veracity.

Justice.

Autonomy.

Fidelity.

Answer and Explanation

The Correct Answer is B

Justice is the ethical principle of treating the patient fairly and equally among staff when making assignments. The charge nurse is upholding this principle by ensuring that the workload is distributed evenly and that no staff member is overburdened or underutilized.

Choice A is wrong because Veracity is wrong because veracity is the ethical principle of telling the truth to the patient.

This principle is not relevant to the scenario of making assignments.

Choice C is wrong because Autonomy is wrong because autonomy is the ethical principle of respecting the patient’s right to make their own healthcare decisions.

This principle is not relevant to the scenario of making assignments.

Choice D is wrong because Fidelity is wrong because fidelity is the ethical principle of keeping promises to the patient.

This principle is not relevant to the scenario of making assignments.

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Correct Answer is B

Explanation

This statement indicates that the client has orthopnea, which is a sign of worsening heart failure and fluid overload. The nurse should intervene by assessing the client’s vital signs, oxygen saturation, lung sounds, and edema, and notifying the provider for possible diuretic adjustment.

Choice A is wrong because “I’m urinating in larger amounts.” is an expected outcome of taking furosemide, which is a loop diuretic that increases urine output and reduces fluid retention.

Choice C is wrong because “I suck on hard candy for my dry mouth.” is a harmless way to cope with the side effect of dry mouth caused by furosemide.

Choice D is wrong because “I’ve lost 3 pounds in the last week.” is a positive sign that the client is losing excess fluid and improving their heart failure

condition. A weight loss of 2 to 4 pounds per week is acceptable for clients taking diuretics.

Normal ranges for heart failure clients are:

Blood pressure: less than 140/90 mmHg
Heart rate: 60 to 100 beats per minute
Respiratory rate: 12 to 20 breaths per minute
Oxygen saturation: greater than 95%
Weight: stable or decreasing within 2 to 4 pounds per week

A. Expect palpitations for 2 days. B. Change positions slowly. C. Take the medication on an empty stomach. D. Increase calorie intake to minimize weight loss.

Correct Answer is B

Explanation

Verapamil is a calcium channel blocker that can lower blood pressure and cause dizziness or fainting, especially when standing up from a sitting or lying position. Changing positions slowly can help prevent these symptoms.

Choice A is wrong because palpitations are not an expected side effect of verapamil, but rather a sign of a possible overdose or a serious heart problem that requires medical attention.

Choice C is wrong because verapamil should be taken with food or milk to avoid stomach upset and increase absorption.

Choice D is wrong because verapamil does not cause weight loss, but rather weight gain as a possible side effect.

Increasing calorie intake is not necessary and may worsen other health conditions such as diabetes or high cholesterol.

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A charge nurse at a long-term care facility ensures that the workload is distributed equally among staff when making assignments. Which of the following ethical principles is the nurse upholding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has heart failure and is taking furosemide. Which of the following statements by the client indicates a need for the nurse to intervene?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client who has a new prescription for verapamil. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

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A charge nurse at a long-term care facility ensures that the workload is distributed equally among staff when making assignments. Which of the following ethical principles is the nurse upholding?

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A charge nurse at a long-term care facility ensures that the workload is distributed equally among staff when making assignments.
Which of the following ethical principles is the nurse upholding?