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. Protective isolation could be managed by any qualified RN, LPN, or AP depending on the complexity.

B. A client actively dying and requiring IV pain medication needs specialized assessment and pain management, which is appropriate for an RN.

C. A client 3 days postoperative requires ongoing care that can be managed by an LPN with supervision.

D. Frequent ambulation is a task that can be managed by an AP, though supervision may be needed.

A. Removal of the nasogastric tube of a client who has been receiving enteral feedings B. Monitoring vital signs of a client who had an appendectomy 12 hr ago C. Application of antibiotic ointment to the arm of a client who has dermatitis D. Obtaining medical history information from a stable client who is being admitted

Correct Answer is B

Explanation

Rationale:

A. Removal of the nasogastric tube is a more complex task that typically requires the nurse’s assessment and judgment.

B. Monitoring vital signs is within the scope of tasks that can be assigned to assistive personnel. This task involves routine observation and does not require complex decision-making.

C. Application of antibiotic ointment requires specific knowledge about the condition and treatment, which is generally performed by a nurse.

D. Obtaining medical history information is a task that requires clinical judgment and interaction, and should be done by a nurse rather than an assistive personnel.

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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

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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