A nurse is caring for a group of clients. The nurse demonstrates adherence to the ethical principle of fidelity by doing which of the following?

Keeping an appointment with a client

Allowing a new mother to hold her stillborn infant

Confirming that a client going for surgery has signed a consent form

Refusing to disclose information about a client to the media

Answer and Explanation

The Correct Answer is A

Rationale:

A. Keeping an appointment with a client demonstrates fidelity by honoring commitments and ensuring reliability in care.

B. Allowing a new mother to hold her stillborn infant is compassionate care but relates more to the ethical principle of beneficence.

C. Confirming that a client going for surgery has signed a consent form is related to the principle of autonomy and informed consent.

D. Refusing to disclose information about a client to the media is related to confidentiality, not fidelity.

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Correct Answer is C

Explanation

Rationale:

A. A client who has pneumonia and has an axillary temperature of 38° C (101° F) has an elevated temperature, but it is less critical than immediate concerns with circulation.

B. A client who has diarrhea and requests clear liquids for breakfast needs dietary adjustments but does not present as urgent.

C. A client who has a cast on the left leg and reports numbness and paresthesia could be experiencing complications such as compartment syndrome, which is an urgent condition requiring immediate assessment.

D. A client who has type 1 diabetes mellitus and has a fasting blood glucose level of 150 is important to monitor but not as immediately critical as potential complications with circulation.

A. Transporting a school-age client who is in traction to another department B. Reading a book to a preschool client who has AIDS C. Rocking an infant who was admitted for croup D. Playing a computer video game with an adolescent who has sickle cell disease

Correct Answer is A

Explanation

Rationale:

A. Transporting a school-age client who is in traction involves handling a medical condition that may require specialized knowledge and skills beyond the volunteer’s capabilities.

B. Reading a book to a client who has AIDS is a supportive activity and does not pose significant risks.

C. Rocking an infant with croup is generally safe and provides comfort to the child.

D. Playing a computer video game with an adolescent is a non-medical activity that is appropriate for a volunteer.

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A nurse is caring for a group of clients. The nurse demonstrates adherence to the ethical principle of fidelity by doing which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing four clients on a medical-surgical unit. Which of the following clients should the nurse care for first?

Correct Answer is C

Explanation

A volunteer assigned to the pediatric unit reports to the charge nurse for an assignment. Which of the following assignments is unsafe for the volunteer?

Correct Answer is A

Explanation

A nurse is providing discharge teaching for a client who has a new prescription for home oxygen. Which of the following instructions should the nurse include in the teaching?

A nurse is teaching a class on torts. The nurse should instruct the class that administering an antibiotic medication to a competent client after the client has refused it is an example of which of the following torts?

An assistive personnel (AP) comes to work with a new set of artificial nails. The nurse takes the AP to a private location to discuss the issue. Which of the following statements by the nurse is appropriate?

An RN is making nursing staff assignments for his team consisting of himself, two licensed practical nurses (LPNs), and an assistive personnel (AP). Which of the following clients should he assume responsibility for?

A nurse is caring for four clients on a medical-surgical unit. Which of the following clients should the nurse assess first?

A charge nurse is observing a nurse Insert an indwelling urinary catheter into a female client. For which of the following actions by the nurse should the charge nurse intervene?

An RN is delegating care activities to a licensed practical nurse (LPN). Which of the following is the priority criterion the RN should consider when delegating?