A nurse is assisting in the care of a client who has schizophrenia and is being prescribed a new antipsychotic medication. The client's parent asks the nurse not to discuss the medication side effects with the client. Which of the following ethical principles does this request violate?

Veracity

Fidelity

Autonomy

Justice

Answer and Explanation

The Correct Answer is C

Rationale:

A. Veracity: Veracity refers to the obligation to tell the truth and provide accurate information. While withholding information could also violate this principle, the core issue in this scenario centers more on the client's right to make informed decisions rather than truth-telling alone.

B. Fidelity: Fidelity involves keeping promises and maintaining trust in the nurse-client relationship. While failing to inform the client may strain trust, the request from the parent specifically violates the client's right to participate in decisions about their care.

C. Autonomy: Autonomy is the right of individuals to make informed decisions about their own healthcare. Withholding information about medication side effects directly interferes with the client’s ability to provide informed consent, violating this fundamental ethical principle.

D. Justice: Justice involves fairness and equality in the distribution of care and resources. This principle is not directly implicated in the scenario, as the issue is not about fairness but about the individual’s right to know and decide.

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Correct Answer is A

Explanation

Rationale:

A. "We will keep the number for poison control stored in our phones.": Having the poison control number readily accessible is a key component of home safety for toddlers, who are at high risk for accidental ingestion. Prompt access supports rapid emergency response and guidance.

B. "We will make sure our hot water heater is set to 54° C (129° F)": This temperature setting is too high and increases the risk of scald burns. Water heaters should be set at or below 49° C (120° F) to reduce the chance of accidental burns during bathing or handwashing.

C. "We will make sure to turn pot handles towards the front of the stove.": Turning pot handles to the front makes them easier for a toddler to grab, increasing burn and injury risk. Handles should always be turned toward the back or center of the stove to keep them out of reach.

D. "We will store medications on a high surface that our child can't reach": High surfaces are not secure enough, as toddlers may climb. Medications should be stored in locked cabinets to ensure they are completely inaccessible to curious children.

A. Temperature B. WBC count C. Allergies D. Chest x-ray

Correct Answer is C

Explanation

Rationale:

• Temperature: An elevated temperature of 39.3° C is consistent with an active infection like pneumonia. This finding supports the need for antibiotic treatment and does not delay administration unless linked to an adverse drug reaction.

• WBC count: A WBC count of 16,000/mm³ indicates leukocytosis, which is expected in bacterial pneumonia. It confirms infection and the need for antibiotics, not a reason to withhold cefazolin.

• Allergies: The client has a documented allergy to penicillin, which is critical because cefazolin is a cephalosporin. Cephalosporins share a similar beta-lactam structure and can cross-react in clients with penicillin allergies, increasing the risk of anaphylaxis. Reporting this ensures safe prescribing and prevents a life-threatening hypersensitivity reaction.

• Chest x-ray: The left lower lobe density confirms pneumonia. This imaging supports the clinical decision to administer antibiotics and does not warrant withholding the prescribed medication.

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A nurse is assisting in the care of a client who has schizophrenia and is being prescribed a new antipsychotic medication. The client's parent asks the nurse not to discuss the medication side effects with the client. Which of the following ethical principles does this request violate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about home safety needs for a toddler. Which of the following statements by the toddler's parents indicates an understanding of the teaching?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

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