A nurse is caring for a client who is dying. The nurse should incorporate the principle of nonmaleficence into practice by taking which of the following actions?

Withholding a dose of narcotic pain medication when the client has respiratory depression

Discussing advance directives with the client and the client's family

Providing comfort care measures to the client

Allowing the client's family unlimited visitation at the time of death

Answer and Explanation

The Correct Answer is A

Rationale:

A. Withholding a dose of narcotic pain medication when there is respiratory depression aligns with nonmaleficence, as it prevents further harm by not exacerbating the client's respiratory issues.

B. Discussing advance directives is important but is more related to autonomy and respect for the client’s wishes rather than nonmaleficence.

C. Providing comfort care is a supportive measure but does not specifically address nonmaleficence in terms of preventing harm.

D. Allowing unlimited visitation respects family wishes but does not directly relate to the principle of nonmaleficence regarding the client’s immediate medical needs.

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Correct Answer is B

Explanation

Rationale:

A. Teaching about low-sodium foods requires specialized knowledge and should be performed by an RN.

B. Measuring and recording intake and output can be done by an AP, as it involves routine data collection rather than clinical judgment.

C. Wound irrigation is a more complex procedure that requires clinical skills and should be performed by an RN or LPN.

D. Evaluating pain relief involves clinical assessment and judgment, which is beyond the scope of an AP.

A. Ask the AP about her concerns with the assignment. B. Report the AP to the charge nurse. C. Take the specimen to the laboratory. D. Complete an incident report.

Correct Answer is A

Explanation

Rationale:

A. Ask the AP about her concerns with the assignment is appropriate as it allows the nurse to understand and address any potential issues or reasons for refusal.

B. Report the AP to the charge nurse should only be done if the refusal cannot be resolved through discussion.

C. Take the specimen to the laboratory should be done if needed, but it is important to first understand why the AP refused.

D. Complete an incident report might be premature without understanding the reason behind the refusal.

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A nurse is caring for a client who is dying. The nurse should incorporate the principle of nonmaleficence into practice by taking which of the following actions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is delegating client care assignments for the shift. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?

Correct Answer is B

Explanation

A nurse asks the assistive personnel (AP) to take a specimen to the laboratory and the AP refuses. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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