A nurse is caring for a client who has a new diagnosis of chlamydia. Which of the following actions should the nurse take?

Report the infection to the local health department.

Apply an antiviral cream to lesions.

Instruct the client to use condoms until the treatment is completed.

Initiate contact precautions.

Answer and Explanation

The Correct Answer is A

A.   Reporting infections like chlamydia to the local health department is crucial for public health monitoring and contact tracing to prevent further spread of the infection.
B.   Chlamydia is a bacterial infection, and antiviral creams are not effective against it.
C.   While advising the client about preventive measures like condom use is important, reporting the infection is the priority for public health purposes.
D.   Contact precautions are not necessary for chlamydia as it is primarily spread through sexual contact and not through casual contact or airborne transmission.

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Correct Answer is B

Explanation

A. A client receiving an operation on the wrong side of the body is a serious medical error but might not inherently involve an ethical dilemma unless the decision-making process and accountability are in question.
B. A parent wanting a 14-year-old adolescent to receive radiation treatment against his will involves conflicting values of autonomy, beneficence, and parental rights,
constituting an ethical dilemma.
C. A visitor experiencing a minor burn is an incident but doesn't inherently pose an ethical dilemma.
D. A nurse witnessing another nurse administering an incorrect medication is a patient safety issue but might not inherently involve an ethical dilemma unless there are questions about reporting or intervening in the situation.

A. Whether the client's refusal is based on religious belief B. Whether the partner is the client's durable power of attorney for health care C. Whether the client understands the risk of refusing the procedure D. Whether the facility ethics committee reaches a consensus on the case

Correct Answer is C

Explanation

A. While religious beliefs may influence a client's decision, they are not the deciding factor. Clients have the right to refuse treatment regardless of the reason, as long as they are competent and informed.

B. The partner’s role as the durable power of attorney for health care is only relevant if the client is unable to make decisions due to incompetence or incapacitation. If the client is competent, their decision takes precedence over the wishes of their partner or any legal proxy.

C. Ensuring the client understands the risks of refusing the procedure is the deciding factor. A competent client has the right to refuse any medical treatment, including surgery, after being informed of the potential consequences. The nurse and provider must ensure the client’s decision is informed and voluntary.

D. The facility ethics committee may provide guidance in complex cases, but they do not override a competent client’s autonomy. The client’s informed decision is the ultimate determinant in whether the surgery is performed.

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A nurse is caring for a client who has a new diagnosis of chlamydia. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager is leading a discussion about ethical dilemmas. Which of the following situations should the nurse manager include as an example of an ethical dilemma?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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