A nurse is caring for a client who has a terminal illness and states that they wish to discontinue their enteral feedings. The nurse responds by saying "You have a right to refuse treatment." This response by the nurse demonstrates which of the following ethical principles?
Beneficence
Fidelity
Autonomy
Justice
The Correct Answer is C
A. Beneficence:
Beneficence is the ethical principle of doing good or promoting the well-being of the patient. In this scenario, the nurse is respecting the client's autonomy rather than actively promoting a specific course of action.
B. Fidelity:
Fidelity refers to the principle of being faithful or keeping promises. While being truthful and honest with the client is important, the nurse's response is primarily addressing the client's autonomy.
C. Autonomy:
This is the correct answer. Autonomy is the ethical principle that emphasizes the individual's right to make decisions about their own care, including the right to refuse treatment. The nurse's response acknowledges and respects the client's autonomy in deciding to discontinue enteral feedings.
D. Justice:
Justice pertains to fairness and equitable distribution of resources. It is not the primary ethical principle being demonstrated in this scenario, as the focus is on the individual's right to make a decision about their own care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Agree on a desired outcome:
Before agreeing on a desired outcome, it is important to collect relevant facts and information about the situation. Understanding the specifics of the case is crucial for making informed decisions.
B. Collect the relevant facts:
This is the correct answer. Gathering information and understanding the facts surrounding the situation is the initial step in addressing any ethical dilemma. This includes understanding the nature of the medical treatment, reasons for refusal, and potential consequences for the child.
C. Examine personal values:
While personal values are important to consider, examining personal values typically comes later in the ethical decision-making process. The nurse first needs to understand the facts and the context of the situation.
D. Create a plan of action:
Creating a plan of action should be based on a thorough understanding of the situation, including the relevant facts and considerations. It is a step that follows the collection of information.
Correct Answer is ["2.1"]
Explanation
To calculate the total daily dose of tobramycin, we use the formula:
- Total Daily Dose (mg) = Dose (mg/kg/day) × Weight (kg)
- Total Daily Dose (mg)=Dose (mg/kg/day)×Weight (kg)
In this case:
- Total Daily Dose=3 mg/kg/day × 85 kg
- Total Daily Dose=255mg/day
Since the total daily dose is divided into three doses, the nurse should administer:
- Dose per Administration =Total Daily Dose/Number of Doses per Day
- Dose per Administration = 255 mg/3
- Dose per Administration≈85mg
Now, to calculate the volume (mL) to administer, we use the concentration of the available tobramycin solution:
- Volume (mL)=Dose per Administration (mg)/Concentration (mg/mL)
In this case:
- Volume=85mg/40mg/mL
- Volume≈2.1mL
Therefore, the nurse should administer approximately 2.1 mL of tobramycin per dose, rounded to the nearest tenth.
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