A nurse is assisting with selecting clients for discharge due to a local external disaster. Which of the following clients should the nurse recommend for discharge?

A client who has pneumonia and is receiving 100% oxygen via a non rebreather mask.

A client who has ascites and had a paracentesis 4 hr ago.

A client who has a blood glucose level of 380 mg/dL (74 to 106 mg/dL) and is receiving insulin via IV infusion.

A client who is 6 hr postoperative following a hip arthroplasty.

Answer and Explanation

The Correct Answer is B

A.   A client who has pneumonia and is receiving 100% oxygen via a non-rebreather mask: This client requires intensive respiratory care and cannot be safely discharged.
B.   A client who has ascites and had a paracentesis 4 hr ago: This client is stable following a low-risk outpatient procedure and can be safely managed at home.
C.   A client who has a blood glucose level of 380 mg/dL and is receiving insulin via IV infusion: This client has poorly controlled hyperglycemia requiring close monitoring and treatment.
D.   A client who is 6 hr postoperative following a hip arthroplasty: This client requires postoperative monitoring and pain management and is at risk for complications.

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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.

A. The medication administration record indicates the client received pain medication 12 hr ago. B. The client reports a pain level of 7 on a scale from 0 to 10. C. The client's pulse rate and blood pressure have decreased. D. The client is restless and grimaces with movement. E. The client's family tells the nurse the client is in pain.

Correct Answer is ["A","B","C","D"]

Explanation

A. The medication administration record indicates the client received pain medication 12 hr ago. This is important to prevent overmedication and assess if the dosing schedule allows another administration.
B. The client reports a pain level of 7 on a scale from 0 to 10. Pain rating is a critical factor in deciding whether to administer PRN pain medication.
C. The client's pulse rate and blood pressure have decreased. Vital sign changes may indicate sedation or hemodynamic instability, which could contraindicate additional pain medication.
D. The client is restless and grimaces with movement. Nonverbal cues of pain are essential considerations, especially if the client is unable to communicate effectively.
E. The client's family tells the nurse the client is in pain. While family input can be valuable, pain assessment should be based on the client's report or nurse observations.

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A nurse is assisting with selecting clients for discharge due to a local external disaster. Which of the following clients should the nurse recommend for discharge?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about ethical dilemmas with a newly licensed nurse. Which of the following should the nurse identify as the first step in the ethical reasoning process?

Correct Answer is C

Explanation

A nurse is collecting data from a client who is postoperative. Which of the following findings should the nurse consider before administering the prescribed PRN pain medication? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

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