A nurse is caring for a client whose partner recently died.

The nurse sits with the client to provide comfort.

Which of the following ethical principles is the nurse demonstrating?

Beneficence.

Fidelity.

Autonomy.

Veracity.

Answer and Explanation

The Correct Answer is A

The correct answer is A. Beneficence. Beneficence is the ethical principle of doing good for the patient and promoting their well-being.

The nurse is demonstrating beneficence by sitting with the client to provide comfort and support during a difficult time.

Choice B is wrong because fidelity is the ethical principle of keeping promises to the patient and being loyal and faithful.

The nurse is not making or keeping any promises to the client in this scenario.

Choice C is wrong because autonomy is the ethical principle of respecting the patient’s right to make their own decisions and choices.

The nurse is not interfering with the client’s autonomy in this scenario.

Choice D is wrong because veracity is the ethical principle of telling the truth to the patient and being honest and trustworthy.

The nurse is not lying or withholding information from the client in this scenario.

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Correct Answer is A

Explanation

The correct answer is choice A. Instruct the client to avoid coughing during the procedure.

A thoracentesis is a procedure that involves inserting a needle into the pleural space to remove excess fluid or air. Coughing can increase the risk of pneumothorax (collapsed lung) or bleeding during the procedure.

Choice B is wrong because the client does not need to be NPO (nothing by mouth) for 6 hr prior to the procedure. There is no risk of aspiration during a thoracentesis.

Choice C is wrong because the client should be positioned on the unaffected side for 4 hr following the procedure. This allows the affected lung to re-expand and prevents fluid from accumulating in the pleural space again.

Choice D is wrong because the client should not be placed in the prone position during the procedure. The prone position makes it difficult to access the pleural space and can compromise breathing.

A. Apply cold packs directly on the skin of the affected joints. B. Administer biological response modifiers to prevent infection C. Take a hot shower in the morning to decrease stiffness. D. Cluster physical activities during the day

Correct Answer is C

Explanation

The correct answer is choice C. Taking a hot shower in the morning can help decrease stiffness and improve joint mobility for people with rheumatoid arthritis. This is one of the self-management strategies that can reduce pain and disability.

Choice A is wrong because applying cold packs directly on the skin of the affected joints can cause vasoconstriction and increase inflammation.

Cold therapy should be used with caution and with a barrier between the skin and the ice pack.

Choice B is wrong because biological response modifiers are not used to prevent infection, but to reduce inflammation and slow down joint damage in rheumatoid arthritis.

These medications can actually increase the risk of infection by suppressing the immune system.

Choice D is wrong because clustering physical activities during the day can cause fatigue and joint stress for people with rheumatoid arthritis.

It is better to pace activities throughout the day and take frequent breaks to rest the joints.

Normal ranges for rheumatoid arthritis are based on the disease activity score (DAS), which measures the number of swollen and tender joints, the level of inflammation in the blood, and the patient’s global assessment of health. A DAS below 2.6 indicates remission, a DAS between 2.6 and 3.2 indicates low disease activity, a DAS between 3.2 and 5.1 indicates moderate disease activity, and a DAS above 5.1 indicates high disease activity.

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A nurse is caring for a client whose partner recently died. The nurse sits with the client to provide comfort. Which of the following ethical principles is the nurse demonstrating?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who is scheduled for a thoracentesis. Which of the following actions should the nurse plan to take

Correct Answer is A

Explanation

A nurse is teaching a client who has rheumatoid arthritis about illness management. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

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A nurse is caring for a client whose partner recently died.

The nurse sits with the client to provide comfort.

Which of the following ethical principles is the nurse demonstrating?