A community health nurse is working with a group of clients.
The nurse practices the ethical principle of distributive justice by performing which of the following tasks?

Ensuring that a client who is homeless receives preventive medical care.

Being honest with the parents of a child about the need to report suspected abuse.

Accepting the decision of an older adult client to live alone in her home.

Keeping a promise to visit with a client who is housebound after the delivery of care.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Distributive justice refers to the fair distribution of resources, benefits, and burdens in society. Ensuring that a homeless client receives preventive medical care exemplifies distributive justice as it promotes equal access to healthcare resources for all individuals, regardless of their housing situation.

Choice B rationale:

Being honest with the parents of a child about the need to report suspected abuse is an example of veracity, which is the duty to tell the truth. While honesty is important, it does not directly relate to distributive justice.

Choice C rationale:

Accepting the decision of an older adult client to live alone in her home respects the client's autonomy and independence but does not specifically demonstrate distributive justice.

Choice D rationale:

Keeping a promise to visit with a housebound client is an example of fidelity, the duty to fulfill promises. While it is ethically important, it does not exemplify distributive justice, which pertains to fair resource allocation.

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Correct Answer is B

Explanation

Choice A rationale:

Belching is a common finding following an esophagogastroduodenoscopy and is not a cause for concern unless it is excessive or accompanied by other concerning symptoms.

Choice B rationale:

(Correct Choice) Abdominal pain after an esophagogastroduodenoscopy can indicate complications such as perforation, bleeding, or infection. It is essential to report this finding to the provider promptly for further evaluation and management.

Choice C rationale:

Sore throat is a common and expected side effect after the procedure due to irritation from the endoscope. It usually resolves on its own and does not require immediate reporting unless it worsens or is associated with other concerning symptoms.

Choice D rationale:

Flatulence is not typically related to an esophagogastroduodenoscopy and is not a cause for concern in this context.

A. Have the AP check the medical record for prior blood glucose test results. B. Assign the AP to ask the client if she has taken her antidiabetic medication today. C. Determine if the AP has the skills to perform the test. D. Help the AP perform the blood glucose test.

Correct Answer is C

Explanation

Choice A rationale:

Checking the medical record for prior blood glucose test results is a task that can be delegated to the assistive personnel (AP). It provides relevant information for the nurse to assess the client's current condition. However, it is not the most crucial step in ensuring the safe performance of the blood glucose test.

Choice B rationale:

Asking the client if she has taken her antidiabetic medication today is important, but this task is better suited for the nurse, as it requires accurate communication with the client about their medication history and adherence. Delegating this task to the AP may lead to potential misunderstandings or errors in the information provided.

Choice C rationale:

The nurse should determine if the AP has the necessary skills and competence to perform the blood glucose test. Delegating tasks based on the competency of the staff member ensures the safety and well-being of the client. If the AP is not skilled in performing the test, the nurse should assign the task to someone else or perform the test personally.

Choice D rationale:

The nurse should not directly perform the blood glucose test if it can be safely delegated to the AP. Delegating appropriate tasks to competent staff members allows nurses to focus on more complex aspects of client care and ensures efficient use of resources within the healthcare team.

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A community health nurse is working with a group of clients.The nurse practices the ethical principle of distributive justice by performing which of the following tasks?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client following an esophagogastroduodenoscopy.Which of the following findings should the nurse report to the provider?

Correct Answer is B

Explanation

A nurse is planning to delegate the fasting blood glucose testing for a client who has diabetes mellitus to an assistive personnel (AP). Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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A community health nurse is working with a group of clients.
The nurse practices the ethical principle of distributive justice by performing which of the following tasks?