A nurse is caring for a client who is scheduled for coronary artery bypass surgery and does not wish to have any blood transfusions. The nurse should recognize that administering blood to this client is a violation of which of the following ethical principles?

Autonomy

Fidelity

Justice

Veracity

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the correct choice because autonomy is the ethical principle that respects the client's right to make their own decisions about their health care. The nurse should honor the client's wishes and preferences, even if they differ from the nurse's or the provider's. The nurse should not force or coerce the client to accept blood transfusions, as this would violate their autonomy.

Choice B reason: This is not the correct choice because fidelity is the ethical principle that requires the nurse to be faithful and loyal to the client and their agreement. The nurse should keep their promises and commitments, and act in the best interest of the client. The nurse should not administer blood transfusions to the client without their consent, as this would breach their trust and fidelity.

Choice C reason: This is not the correct choice because justice is the ethical principle that ensures fair and equal treatment for all clients. The nurse should distribute resources and services according to the client's needs and rights, and avoid any discrimination or bias. The nurse should not administer blood transfusions to the client against their will, as this would disregard their justice.

Choice D reason: This is not the correct choice because veracity is the ethical principle that obliges the nurse to be honest and truthful with the client. The nurse should provide accurate and complete information, and disclose any errors or risks. The nurse should not administer blood transfusions to the client without informing them, as this would violate their veracity.

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Correct Answer is B

Explanation

Choice A reason: This is not the correct choice because checking on a client whose telemetry monitor is continuously beeping is a task that requires nursing judgment and assessment skills. The nurse should not delegate this task to the AP, but rather perform it themselves or notify the health care provider.

Choice B reason: This is the correct choice because tagging a malfunctioning piece of equipment as broken is a task that does not involve direct client care or clinical decision making. The nurse can delegate this task to the AP, who can follow the facility's policy and procedure for reporting and removing faulty equipment.

Choice C reason: This is not the correct choice because determining whether an oxygen flow meter is accurately set at 2 L/min via nasal cannula is a task that involves administering medication and monitoring the client's oxygenation status. The nurse should not delegate this task to the AP, but rather perform it themselves and document the results.

Choice D reason: This is not the correct choice because instructing a client about the use of an incentive spirometer is a task that involves providing client education and evaluating the client's understanding and compliance. The nurse should not delegate this task to the AP, but rather perform it themselves and document the outcomes.

A. Ask the client's daughter to interpret the conversation. B. Talk loudly while facing the client. C. Access a language line to interpret what is being said. D. Use a bilingual dictionary to translate.

Correct Answer is C

Explanation

Choice A reason: Asking the client's daughter to interpret the conversation is not a correct action, as it may compromise the accuracy and confidentiality of the information. The nurse should not use family members or friends as interpreters, as they may have biases, emotions, or personal agendas that could interfere with the communication.

Choice B reason: Talking loudly while facing the client is not a correct action, as it may be perceived as rude or aggressive by the client. The nurse should not assume that the client can understand them better by increasing the volume or using gestures, as these may have different meanings in different cultures.

Choice C reason: Accessing a language line to interpret what is being said is the correct action, as it ensures that the communication is clear, accurate, and respectful. The nurse should use a qualified interpreter who is familiar with the medical terminology and the cultural context of the client.

Choice D reason: Using a bilingual dictionary to translate is not a correct action, as it may be time-consuming and ineffective. The nurse should not rely on a dictionary or a translation app, as they may not capture the nuances or expressions of the language. The nurse should also avoid using medical jargon or slang that may not be understood by the client.

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A nurse is caring for a client who is scheduled for coronary artery bypass surgery and does not wish to have any blood transfusions. The nurse should recognize that administering blood to this client is a violation of which of the following ethical principles?

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