A nurse is assisting in the development of an in-service on ethics for a group of newly licensed nurses. The nurse should include which of the following situations as examples of the ethical principle of fidelity? (Select all that apply.)
A nurse contacts a client's family member upon the client's request.
A nurse returns to a client's room within a specified time frame.
A nurse provides the same care to clients regardless of their socioeconomic status.
A nurse reinforces education and evaluates a client's understanding.
A nurse administers pain medication prior to ambulating a postoperative client.
Correct Answer : A,B,E
A. A nurse contacts a client's family member upon the client's request. Fidelity involves keeping promises or fulfilling client requests.
B. A nurse returns to a client's room within a specified time frame. Keeping a promise to return demonstrates fidelity.
C. A nurse provides the same care to clients regardless of their socioeconomic status. This exemplifies the ethical principle of justice, not fidelity.
D. A nurse reinforces education and evaluates a client's understanding. This reflects the ethical principle of beneficence (doing good) rather than fidelity.
E. A nurse administers pain medication prior to ambulating a postoperative client. Administering pain medication as promised demonstrates fidelity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E","F"]
Explanation
B.Oxygen saturation (92% on room air): A drop in oxygen saturation from 96% to 92% indicates impaired gas exchange, which may require oxygen therapy or further evaluation for respiratory compromise.
C. Respiratory assessment (crackles, chest tightness, productive cough with blood): Crackles and productive cough with hemoptysis are concerning for possible tuberculosis (TB) or another serious respiratory infection. Immediate notification ensures timely isolation and further diagnostic testing.
D. Temperature (38.8°C/101.8°F): The elevated temperature indicates a possible infection or worsening inflammatory process, especially concerning given the night sweats and recent international travel history.
E. Neurological status (lethargy): The progression from an alert state to lethargy suggests potential worsening of the client’s condition, possibly due to hypoxia, infection, or sepsis. Early identification is critical for preventing deterioration.
F. X-ray results (calcification in upper lobes): Calcifications in the upper lung lobes are characteristic of previous or latent TB infection. This, combined with the client’s current symptoms, requires prompt reporting to initiate appropriate infection control measures.
Findings Not Reported:
A.Bowel pattern (normoactive, last BM this morning): The bowel pattern is normal and not immediately relevant to the acute respiratory concerns.
G. Heart rate (114/min): Though elevated, the heart rate is likely a secondary response to the fever and respiratory compromise. While important to monitor, it does not warrant immediate provider notification independently.
Correct Answer is C
Explanation
A. Examine the outcomes: This step comes later in the process when evaluating potential decisions and their consequences.
B. Determine possible alternatives: Identifying possible alternatives occurs after defining the problem to explore appropriate solutions.
C. Identify the problem. The first step in the ethical reasoning process is to clearly identify and define the ethical problem or dilemma. Understanding the issue provides the foundation for gathering relevant information, analyzing the situation, and making an informed decision.
D. Develop a plan of action: Developing an action plan is one of the final steps after considering the ethical principles, possible alternatives, and anticipated outcomes.
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