A charge nurse observes a licensed practical nurse (LPN) tell a client that she will return with a medication to help relieve the client's nausea. The LPN does not return with the medication. The charge nurse should reinforce which of the following ethical principles with the LPN?

Nonmaleficence

Veracity

Fidelity

Justice

Answer and Explanation

The Correct Answer is C

A.   Nonmaleficence: This ethical principle relates to the duty to do no harm to the client. While not returning with the medication may have resulted in the client experiencing continued discomfort, fidelity is more directly applicable in this scenario.
B.   Veracity: Veracity relates to truthfulness and honesty in communication, which may be indirectly related to the situation but is not the primary focus.
C.   Fidelity: Fidelity refers to the duty to fulfill commitments and promises made to clients. In this scenario, the LPN made a promise to the client to return with medication, and failing to fulfill this promise breaches the principle of fidelity.
D.   Justice: Justice relates to fairness and equality in the distribution of resources and treatment.

While ensuring fairness is important, it is not directly applicable to the situation described.

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Correct Answer is A

Explanation

A. A client who sustained a concussion and is being monitored for complications: This client would likely have stable neurological status and require monitoring for signs of complications such as increased intracranial pressure or neurological deterioration. It is suitable for a newly licensed nurse who needs to develop assessment and monitoring skills.
B. A client who has Guillain-Barré syndrome and a tracheostomy: Guillain-Barré syndrome can present with rapidly progressive weakness and respiratory compromise, requiring close
monitoring and interventions such as tracheostomy care. This assignment may be more appropriate for an experienced nurse due to the complexity of care.
C. A client who has multiple sclerosis and ataxia: Multiple sclerosis is a chronic neurological condition that can present with various symptoms, including ataxia. Depending on the severity of symptoms and care needs, this assignment may require a nurse with experience in managing neurological conditions.
D. A client who has a brain tumor and is admitted for chemotherapy: This client may require specialized care related to chemotherapy administration, symptom management, and neurological assessments. It may be more suitable for an experienced nurse with knowledge of oncology and neurology.

A. Black B. Yellow C. Red D. Green

Correct Answer is A

Explanation

A. Black: This tag is used for patients who are deceased or have injuries so severe that survival is unlikely even with immediate medical intervention. Full-thickness burns covering 72% of the body are typically fatal due to the extensive damage to the skin and underlying tissues, high risk of infection, and severe fluid loss.

B. Yellow: This tag is for patients who require observation and whose condition is stable for the moment but who still need hospital care. A patient with such extensive burns would not be stable and would require immediate, intensive care, making this tag inappropriate.

C. Red: This tag is assigned to patients who need immediate treatment to survive. While a patient with extensive burns might initially seem to fit this category, the severity and extent of the burns make survival unlikely even with immediate treatment.

D. Green: This tag is for the "walking wounded" who have minor injuries and do not require urgent care. Clearly, a patient with full-thickness burns over a large portion of their body does not fit this category.

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A charge nurse observes a licensed practical nurse (LPN) tell a client that she will return with a medication to help relieve the client's nausea. The LPN does not return with the medication. The charge nurse should reinforce which of the following ethical principles with the LPN?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is orienting a newly licensed nurse on the neurological unit. Which of the following clients should the nurse assign to the newly licensed nurse?

Correct Answer is A

Explanation

A nurse is conducting a disaster preparedness drill with a group of nurses who are orienting to the facility. Which of the following triage tag colors should the nurse instruct the group to apply to a client who has full-thickness burns on 72% of his body?

Correct Answer is A

Explanation

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A charge nurse observes a licensed practical nurse (LPN) tell a client that she will return with a medication to help relieve the client's nausea. The LPN does not return with the medication. The charge nurse should reinforce which of the following ethical principles with the LPN?

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