A nurse is collecting data from a client who is experiencing abdominal pain. The nurse states that they will return as soon as possible with pain medication. The nurse is demonstrating which of the following ethical principles?

Fidelity

Justice

Autonomy

Nonmaleficence

Answer and Explanation

The Correct Answer is A

A. Fidelity:

This ethical principle is about being faithful and keeping promises. In this context, when the nurse states that they will return as soon as possible with pain medication, they are making a commitment to addressing the client's needs promptly. This aligns with the principle of fidelity because the nurse is demonstrating a commitment to fulfill their promise.

B. Justice:

Justice involves fairness and the equitable distribution of resources and benefits. In the scenario provided, the nurse's actions are more directly related to the principle of fidelity (keeping promises) rather than justice. The focus is on meeting the individual needs of the client, not on the broader concept of fairness in the distribution of resources.

C. Autonomy:

Autonomy is the principle that respects an individual's right to make their own decisions. In the given scenario, there is no explicit mention of the client's decision-making authority. The nurse's statement is more aligned with the principle of fidelity, indicating a commitment to addressing the client's needs, rather than autonomy, which would be more focused on respecting the client's choices and decisions.

D. Nonmaleficence:

Nonmaleficence is the principle of "do no harm." While the nurse is not directly causing harm in this scenario, the focus is more on making a commitment (fidelity) and addressing the client's needs rather than avoiding harm. The nurse's actions are about providing relief and fulfilling a commitment rather than preventing harm.

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Correct Answer is D

Explanation

A. "I might have trouble staying on a low-fat diet after my surgery."

- This statement reflects a concern about post-operative care and lifestyle adjustments. It's a valid concern but not a reason to delay the consent process or notify the provider. The client's ability to adhere to a low-fat diet can be addressed during pre-operative counseling or post-operative instructions.

B. "I can resume my normal activities in 1 to 2 weeks."

- This statement indicates an understanding of the post-operative recovery time frame, which is generally accurate for many laparoscopic cholecystectomy patients. This statement does not warrant delaying the consent process or notifying the provider.

C. "I will plan to be in the hospital for 24 hours following my surgery."

- This statement shows an understanding of the anticipated hospital stay after the surgery. It aligns with the typical length of hospitalization for a laparoscopic cholecystectomy. There is no need to delay the consent process or notify the provider based on this statement.

D. "I hope that removing my appendix will make me feel better."

- This statement raises a red flag as it indicates a misunderstanding or confusion about the procedure. A laparoscopic cholecystectomy involves removing the gallbladder, not the appendix. This misunderstanding could lead to the wrong procedure being performed. Therefore, it's crucial to delay obtaining the signature and notify the provider to clarify the intended surgery with the client.

Correct Answer is ["38"]

Explanation

To calculate the IV flow rate in gtt/min, the nurse needs to use the following formula: IV flow rate (gtt/min) = Volume (mL) x Drop factor (gtt/mL) / Time (min).

In this case, the volume is 150 mL, the drop factor is 15 gtt/mL, and the time is 60 min.

Plugging these values into the formula, we get: IV flow rate (gtt/min) = 150 x 15 / 60.

Simplifying, we get: IV flow rate (gtt/min) = 37.5.

Therefore, the nurse should set the IV flow rate to deliver 38 gtt/min.

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A nurse is collecting data from a client who is experiencing abdominal pain. The nurse states that they will return as soon as possible with pain medication. The nurse is demonstrating which of the following ethical principles?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to witness a client sign a consent for a laparoscopic total cholecystectomy. The nurse should delay obtaining the signature and notify the provider if the client makes which of the following statements?

Correct Answer is D

Explanation

Correct Answer is ["38"]

Explanation

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