A nurse is discharging two clients from the hospital to their homes. The client with insurance will receive supplies to take home and the one without insurance will need to pick up supplies at the local community health department. The nurse should recognize that this is a breach of which of the following ethical principles?

Beneficence

Nonmaleficence

Justice

Autonomy

Answer and Explanation

The Correct Answer is C

Choice A reason: Beneficence, acting for patient benefit, is not breached, as both clients receive care and supplies, albeit differently. Unequal distribution reflects access issues, not failure to promote well-being, making beneficence less relevant than justice in addressing this ethical concern.
Choice B reason: Nonmaleficence, avoiding harm, is not violated, as both clients access supplies without direct harm. The inequality in delivery method raises fairness concerns, not harm, making justice the primary ethical principle breached in this scenario of differential treatment.
Choice C reason: Justice, ensuring fair treatment, is breached when one client receives supplies directly and another must seek them externally due to insurance status. This inequality in resource access violates equitable care principles, critical in healthcare ethics to ensure fairness across patient populations.
Choice D reason: Autonomy, respecting patient choices, is not breached, as both clients receive care consistent with their needs. The issue lies in unequal resource access, not decision-making restrictions, making justice the relevant ethical principle over autonomy in this scenario.

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Correct Answer is C

Explanation

Choice A reason: Routine health screenings are part of secondary prevention, focusing on early detection of diseases before symptoms appear. Tertiary prevention addresses management after diagnosis, so this action is misaligned with the phase, making it incorrect for the workshop content.
Choice B reason: Administering vaccinations is primary prevention, aimed at preventing diseases before they occur. Tertiary prevention involves managing existing conditions, so vaccinations do not fit this phase, making this an incorrect choice for interprofessional care focus.
Choice C reason: Developing a rehabilitation plan post-stroke is tertiary prevention, as it minimizes disability and improves function after a disease event. This collaborative effort involves multiple disciplines (e.g., PT, OT), aligning with interprofessional care goals, making it the correct choice.
Choice D reason: Educating about healthy lifestyles is primary prevention, promoting health to prevent disease onset. Tertiary prevention focuses on managing established conditions, so this action is incorrect for the tertiary phase in interprofessional collaboration.

A. Offer your infant the breast when he shows signs of hunger. B. Limit the time your infant feeds to 10 minutes on each breast. C. Begin each feeding with the same breast. D. Ensure the infant feeds every 6 hours.

Correct Answer is A

Explanation

Choice A reason: Offering the breast at hunger cues, like rooting, supports demand feeding, regulating milk supply via prolactin. This ensures adequate nutrition and bonding, critical for infant growth and lactation success, aligning with evidence-based breastfeeding practices for optimal maternal-infant outcomes.
Choice B reason: Limiting feeding to 10 minutes per breast restricts hindmilk intake, rich in fat, reducing nutrition and milk supply. Fixed timing disrupts prolactin-driven lactation, risking inadequate weight gain, contrary to breastfeeding guidelines recommending unrestricted feeding based on infant cues.
Choice C reason: Starting each feeding with the same breast risks unbalanced milk production and engorgement. Alternating breasts ensures even stimulation and emptying, maintaining supply and preventing complications, making this incorrect for supporting effective breastfeeding practices in new parents.
Choice D reason: Feeding every 6 hours is too infrequent for newborns, needing feeds every 2-3 hours to meet nutritional demands and stimulate milk production. Fixed schedules ignore hunger cues, risking dehydration or poor growth, contradicting evidence-based breastfeeding recommendations for infants.

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Naxlex Comprehensive Predictor Exams

A nurse is conducting a workshop on the importance of interprofessional collaboration. Which of the following is included in the tertiary prevention phase in interprofessional care?

Correct Answer is C

Explanation

A nurse is providing discharge teaching to a new parent about breastfeeding her infant. Which of the following statements should the nurse make?

Correct Answer is A

Explanation

A nurse is flushing a client’s intermittent infusion device. The client states, “Why do you have to do that if you are not giving me medicine?” Which of the following statements should the nurse make?

A nurse is assessing a client who is postoperative following abdominal surgery. Which of the following findings should indicate to the nurse that the client is at risk for developing a surgical wound infection?

A nurse is caring for a client who has an ectopic pregnancy. Which of the following findings should the nurse expect?

A nurse is making assignments for staff on an inpatient unit. Which of the following tasks can a nurse legally delegate to assistive personnel?

A nurse is providing teaching to a client following surgery to repair a detached retina of the left eye. Which of the following instructions should the nurse include in the teaching?

A charge nurse is teaching newly licensed nurses about postoperative procedures following abdominal surgery. Which of the following information should the charge nurse include?

A nurse is caring for a client who had a laparoscopic cholecystectomy and is experiencing abdominal distention. Which of the following actions should the nurse take?

A nurse is caring for a client who has an endotracheal tube (ET) and is on mechanical ventilation. Which of the following actions should the nurse take for a ventilator alarm due to an increase in peak airway pressure? (Select all that apply)