A client is hospitalized and is in police custody after being arrested for driving while intoxicated for the third time. The nurse assigned to the client lost her brother to a drunk driver two years prior.
Which action on the part of the nurse aligns with the professional code of ethics for nurses?
The nurse refuses care of the client.
The nurse delegates all care of the client to an assistant.
The nurse provides minimal care to keep the client alive.
The nurse cares for the patient in the same manner as for other clients.
The Correct Answer is D
This aligns with the professional code of ethics for nurses, which states that nurses should respect the dignity, worth and rights of all human beings, regardless of the nature of their health problems or their social or legal status. The nurse should not let personal feelings or biases interfere with the quality of care or the ethical obligations of the profession.
Choice A is wrong because the nurse refuses to care of the client. This violates the principle of beneficence, which means doing good and preventing harm to others.
The nurse has a duty to provide care to all patients who need it, regardless of their personal opinions or feelings.
Choice B is wrong because the nurse delegates all care of the client to an assistant. This violates the principle of accountability, which means being answerable for one’s actions and decisions. The nurse cannot delegate tasks that require nursing judgment or assessment to an unlicensed person.
The nurse is responsible for ensuring that the patient receives safe and competent care.
Choice C is wrong because the nurse provides minimal care to keep the client alive. This violates the principle of non-maleficence, which means avoiding harm or injury to others.
The nurse should not provide substandard care or neglect the patient’s needs or preferences.
The nurse should strive to promote the health and well-being of the patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Allowing time during the workday when each nurse can demonstrate proficiency is the best way to evaluate staff competency with the new equipment. This method ensures that the nurses can perform the skills correctly and safely under the charge nurse’s supervision and feedback.
Choice A is wrong because verbally questioning the staff about the new equipment does not assess their practical skills or ability to use the equipment correctly.
Choice B is wrong because requiring each nurse to take a written examination about the new equipment does not assess their hands-on skills or ability to troubleshoot problems with the equipment.
Choice D is wrong because asking each nurse to read the procedure and sign a form acknowledging competency does not verify that the nurses have understood the procedure or can apply it in practice.
It also relies on the nurses’ honesty and self-assessment, which may not be accurate or reliable.
Correct Answer is A
Explanation
Choice B is wrong because laying down for 1 hour after meals can increase the pressure on the diaphragm and make breathing more difficult. It can also increase the risk of aspiration and reflux.
Choice C is wrong because restricting the client’s fluid intake to less than 1 L/day can lead to dehydration and thickening of secretions, which can obstruct the airways and impair gas exchange. Fluid intake should be adequate to maintain hydration and thin secretions.
Choice D is wrong because using the upper chest for respiration is a sign of inefficient breathing and respiratory distress.
It can increase the oxygen demand and cause fatigue. The client should be encouraged to use the diaphragm and abdominal muscles for respiration, which are more efficient and reduce the work of breathing.
Normal ranges for oxygen saturation are 95% to 100%, for arterial blood gas pH are 7.35 to 7.45, for PaCO2 are 35 to 45 mmHg, for PaO2 are 80 to 100 mmHg, and for HCO3 are 22 to 26 mEq/L.
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