A charge nurse provides an annual in-service for the nursing staff regarding ethical practice.
Which of the following actions include as an example of ethical practice?
A nurse withholds nutrition from a client who has a do-not-resuscitate (DNR) order.
A nurse administers prescribed opioids to a client who has a terminal illness and respiratory rate of 8/min.
A nurse elects not to care for a client who had an abortion.
A nurse raises all four side rails on the bed of a client who is confused.
The Correct Answer is B
A. A nurse withholds nutrition from a client who has a do-not-resuscitate (DNR) order:
Withholding nutrition from a client solely based on a DNR order may not align with ethical practice, as nutrition should be provided unless there are specific contraindications or the client has expressed wishes to withhold nutrition.
B. A nurse administers prescribed opioids to a client who has a terminal illness and respiratory rate of 8/min: This is the correct answer. Ethical practice involves providing comfort measures, including appropriate pain management, to clients who are terminally ill and experiencing pain or distress, even if it may inadvertently decrease the respiratory rate.
C. A nurse elects not to care for a client who had an abortion: Refusing to care for a client based on personal beliefs or judgments about their medical history or decisions may not align with
ethical practice, as nurses have a professional obligation to provide nonjudgmental care to all clients.
D. A nurse raises all four side rails on the bed of a client who is confused: While ensuring client safety is important, raising all four side rails without considering the client's individual needs and preferences may not be ethical practice, as it may infringe on the client's autonomy and dignity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The client's preferred time for bathing: While this information may be relevant to the client's care, it is not typically included in a change-of-shift report unless it directly impacts the client's medical condition or care plan.
B. The time the client received his last dose of pain medication: This information is crucial for ensuring continuity of care and managing the client's pain appropriately during the transfer to the rehabilitation facility.
C. The belief that the client has a difficult relationship with his son: While psychosocial factors can impact a client's care, this information may not be relevant to the client's immediate medical needs or the transition to the rehabilitation facility.
D. The steps to follow when providing wound care: While wound care instructions are important, they are typically documented in the client's medical record and may not need to be included in a change-of-shift report unless there are specific wound care concerns that need to be addressed during the transfer.
Correct Answer is C
Explanation
A. While vital signs may eventually need to be assessed, reorienting the confused and agitated client takes precedence to ensure their safety and well-being.
B. Offering reassurance to the family may be important, but the immediate priority is addressing the client's agitation and confusion.
C. Reorienting the client to their surroundings is the first step in managing confusion and agitation, as it can help ground them and reduce distress.
D. Medicating the client with alprazolam should not be the first action, especially without a proper assessment and consideration of other interventions to address the underlying cause of the agitation.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.