A nurse is caring for a client who has an eating disorder. The nurse is practicing which of the following ethical concepts when the client refuses to drink a between meal protein and calorie supplement?

Autonomy

Fidelity

Veracity

Beneficence

Answer and Explanation

The Correct Answer is A

A. Autonomy: Respecting a client’s right to make their own decisions, including the refusal of a protein and calorie supplement, demonstrates the ethical principle of autonomy.

B. Fidelity: Fidelity involves being faithful to commitments and responsibilities, but this scenario focuses on the client’s decision-making rights rather than the nurse’s loyalty.

C. Veracity: Veracity refers to truth-telling, which is not directly related to the client refusing the supplement.

D. Beneficence: Beneficence involves acting in the client’s best interest, but forcing treatment would conflict with respecting autonomy.

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Correct Answer is A

Explanation

A. Respiratory rate 8/min: Morphine sulfate is an opioid that can depress respiratory function. A respiratory rate of 8/min is dangerously low and indicates opioid-induced respiratory depression, a serious adverse effect that requires immediate intervention.

B. SaO2 94%: A SaO2 of 94% is within the normal range for many clients and does not indicate an immediate issue.

C. Pain level of 6 on a scale from 0 to 10: This is an expected finding after morphine administration, as it typically reduces pain but may not eliminate it entirely.

D. Sleepy, but arousing when her name is called: Sedation is a common side effect of morphine, but the client being arousable when their name is called is not an alarming sign.

A. Use written communication to supplement verbal instructions and ensure the client understands the information. B. Use gestures and non-verbal cues only, without speaking, as the client is able to read lips effectively. C. Avoid standing in front of the client while speaking, D. Speak loudly and slowly to the client to ensure they can hear you clearly.

Correct Answer is A

Explanation

A. "Use written communication to supplement verbal instructions and ensure the client understands the information." Written communication supports understanding, especially when hearing impairment may limit verbal communication.

B. "Use gestures and non-verbal cues only, without speaking, as the client is able to read lips effectively." Lip reading alone is insufficient for most hearing-impaired clients. Combining gestures, speech, and written communication is more effective.

C. "Avoid standing in front of the client while speaking." Standing in front of the client is crucial to ensure visibility for lip-reading or interpreting gestures.

D. "Speak loudly and slowly to the client to ensure they can hear you clearly." Speaking too loudly may distort sounds, and slow speech does not always enhance comprehension. Instead, normal tone and clear enunciation are recommended.

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A nurse is caring for a client who has an eating disorder. The nurse is practicing which of the following ethical concepts when the client refuses to drink a between meal protein and calorie supplement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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