A charge nurse provides an annual in-service for the nursing staff regarding ethical practice. Which of the following actions should the nurse include as an example of ethical practice?
A nurse raises all four side rails on the bed of a client who is confused.
A nurse elects not to care for a client who had an abortion.
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.
The Correct Answer is D
Choice A Reason:
Raising all four side rails on the bed of a confused client can be considered a form of restraint, which should be avoided unless necessary for the safety of the patient. It may infringe on the client's autonomy and dignity.
Choice B Reason:
Electing not to care for a client who had an abortion is discriminatory and violates the principle of nonmaleficence (doing no harm). Nurses have a professional obligation to provide care to all patients regardless of their personal beliefs or circumstances.
Choice C Reason:
Withholding nutrition from a client with a do-not-resuscitate (DNR) order without clear medical indications goes against the principle of beneficence and could be considered unethical. Nutritional support is a basic aspect of care that should not be withheld unless it is medically indicated or aligns with the patient's wishes.
Choice D Reason:
A nurse administers prescribed opioids to a client who has a terminal illness and respiratory rate of 8/min represents ethical practice because administering prescribed opioids to a client with a terminal illness and a respiratory rate of 8/min is appropriate and aligns with the principle of beneficence. The nurse's action aims to alleviate the client's pain and suffering, which is essential in end-of-life care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
The patient should be elevated 45-90° before inserting a nasogastric tube helps prevent aspiration and facilitates tube insertion.
Choice B Reason:
Assisting the client into a fetal position on his side in preparation for a lumbar puncture is a proper positioning technique to facilitate the procedure and minimize discomfort for the client.
Choice C Reason:
Assessing the client's gag reflex following an esophagogastroduodenoscopy (EGD) is standard practice to ensure the client's safety and ability to protect their airway after the procedure.
Choice D Reason:
Maintains the chest tube collection device below the level of the insertion site when ambulating the client is correct. Chest tube management is critical to prevent complications such as air leaks, tension pneumothorax, and tube dislodgement. When ambulating a client with a chest tube, it's essential to keep the collection device below the level of the insertion site to ensure proper drainage and prevent air from entering the pleural space. If the collection device is positioned above the insertion site, it could result in fluid or air backflow into the patient's chest cavity, which can lead to complications.
Correct Answer is C
Explanation
Choice A Reason:
Respiratory therapist is incorrect. While a respiratory therapist may be involved in the management of asthma, their role primarily focuses on providing respiratory treatments and therapies. They may not have direct involvement in assisting with financial or resource-related issues.
Choice B Reason:
Child protective services is incorrect. Child protective services are typically involved in cases of suspected abuse or neglect. The inability to afford a nebulizer for asthma management does not constitute a situation requiring the involvement of child protective services.
Choice C Reason:
Social worker is correct. Social workers are trained to assist individuals and families in accessing resources and support services, including financial assistance programs or community resources that may provide assistance with obtaining medical equipment such as a nebulizer.
Choice D Reason;
Pharmacist is incorrect. While a pharmacist may provide information and guidance on medications and medical devices, their role may be limited in addressing financial barriers to obtaining a nebulizer. Social workers are better equipped to assist with navigating financial challenges and accessing resources for healthcare needs.
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