A charge nurse observes a client fall while ambulating with an assistive personnel and notes that the client's gait belt was not in place. When reviewing the incident report, the charge nurse finds that the report does not mention the gait belt. Which of the following ethical principles should the charge nurse follow?

Beneficence

Fidelity

Nonmaleficence

Veracity

Answer and Explanation

The Correct Answer is D

A. Beneficence refers to the ethical principle of doing good and promoting the well-being of clients, but it is not directly related to the integrity of incident reporting.

B. Fidelity involves being faithful to commitments and promises, but in this context, it does not address the importance of accurate reporting.

C. Nonmaleficence means "do no harm," which is essential in nursing practice, but it is not the principle that emphasizes honesty in documentation.

D. Veracity is the ethical principle that emphasizes truthfulness and accuracy, making it crucial for the charge nurse to ensure that the incident report accurately reflects the circumstances of the fall, including the absence of the gait belt.

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Correct Answer is C

Explanation

A. Remove the employee from the work environment. While safety is paramount, removing the employee should be a last resort after determining the underlying issues. It does not address the reasons behind the employee's behavior, and it may further exacerbate the problem if there are underlying stressors or personal issues.

B. Create a plan for the employee to overcome their substance use. This option assumes that substance use is the primary issue without further evidence. Addressing potential substance use is important, but creating a detailed plan should come after understanding the employee's situation in a more personalized meeting.

C. Schedule a meeting with the employee to address the occurrence within 24 hr. This action allows the nurse manager to have a direct conversation with the employee to understand their perspective and any potential issues affecting their performance. It demonstrates an attempt to support the employee while addressing performance concerns, creating an opportunity for the employee to express any challenges they may be facing.

D. Coordinate a ride home for the employee. This option may seem compassionate but does not directly address the issue of the employee's behavior or performance. Coordinating transportation does not resolve the ongoing attendance and performance problems and might only serve as a temporary fix without long-term solutions.

E. Have the employee sign a contract acknowledging that substance use will not be tolerated. Although setting clear expectations regarding substance use is important, this should occur after understanding the employee's situation. Simply having the employee sign a contract without discussion may not be effective and could create further resistance or defensiveness in the employee.

A. Reposition the client frequently. B. Instruct the client to use the incentive spirometer. C. Ensure the client consumes an adequate amount of fluids. D. Increase the amount of time the client spends out of bed each day.

Correct Answer is B

Explanation

A. While repositioning is important to prevent pressure ulcers and promote circulation, it is not the priority intervention in this context.

B. Using an incentive spirometer is crucial for preventing atelectasis and promoting lung expansion following surgery, making it a priority intervention.

C. Ensuring adequate fluid intake is important for hydration and recovery but does not take precedence over respiratory care in the postoperative setting.

D. Increasing the amount of time spent out of bed is beneficial for recovery but should follow ensuring proper respiratory function and lung expansion, which is addressed by the use of the incentive spirometer.

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Naxlex Comprehensive Predictor Exams

A nurse manager is overseeing employees on their unit. Exhibits Which of the following actions is the nurse manager's priority? Select the action that the nurse manager should take first.

Correct Answer is C

Explanation

A nurse is updating a postoperative client's plan of care. The nurse should include which of the following as the priority interventions?

Correct Answer is B

Explanation

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