A nurse is assisting with the plan of care for a child whose parents refuse to accept the medical treatment prescribed by the provider. Which of the following actions should the nurse plan to take first to address this ethical dilemma?

Examine personal values.

Agree on a desired outcome.

Create a plan of action.

Collect the relevant facts.

Answer and Explanation

The Correct Answer is D

A.   Examine personal values: Understanding personal biases is important, but this is not the initial step in ethical decision-making.
B.   Agree on a desired outcome: Reaching a consensus is essential but should come after gathering the necessary information.
C.   Create a plan of action: Developing a plan is premature without gathering facts and understanding the situation.
D.   Collect the relevant facts: Gathering all relevant information is the first step to understanding the ethical dilemma and determining an appropriate response.

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Correct Answer is B

Explanation

A. Report the incident to the charge nurse: Reporting is important but not the immediate priority to address the privacy breach.
B. Log the previous user out of the system: Securing the information immediately prevents further unauthorized access, making this the priority action.
C. Offer to conduct a unit in-service on client confidentiality: Education is beneficial but is not the immediate priority.
D. Complete an incident report: Documentation is essential but should occur after the situation is resolved.

A. Client 5 B. Client 4 C. Client 3 D. Client 2 E. Client 1

Correct Answer is ["B","E"]

Explanation

A. Client 5 (Streptococcal pharyngitis): Proper isolation and precautions were implemented, including a private room and surgical mask during transport. No follow-up is needed.
B. Client 4 (Mycobacterium tuberculosis): Requires follow-up. Tuberculosis requires a negative pressure room, not a positive airflow room. Positive airflow rooms are used for clients who need protection from outside pathogens, such as those who are immunocompromised.
C. Client 3 (Herpes simplex): Correct precautions were implemented. Herpes simplex (when involving open lesions) requires contact precautions, including gown and gloves. No follow-up is necessary.
D. Client 2 (Clostridium difficile): Appropriate precautions were taken, including a private room and the use of gown and gloves for direct care. No follow-up is needed.
E. Client 1 (Pertussis): Requires follow-up. Pertussis is transmitted via respiratory droplets, but placing the client in a negative pressure room is unnecessary. Droplet precautions (standard private room and surgical mask use within 3 feet) are sufficient. Negative pressure rooms are reserved for airborne infections such as tuberculosis.

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A nurse is assisting with the plan of care for a child whose parents refuse to accept the medical treatment prescribed by the provider. Which of the following actions should the nurse plan to take first to address this ethical dilemma?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse notices that a client's health information is visible on an unattended computer screen at the nurses' station. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse is assisting in the review of infection control precautions implemented by staff in a facility. Exhibits Select 2 client situations that require follow-up by the infection control nurse.

Correct Answer is ["B","E"]

Explanation

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