A nurse is preparing to administer sucralfate 80 mg/kg/day to divide into four doses per day to a child who weighs 35 kg.
The amount available is sucralfate oral suspension 1 g/10 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Beneficence is the ethical principle of doing good and acting in the best interest of the patient. By administering pain medication prior to turning the client, the nurse is reducing the client’s suffering and promoting their well-being.

Choice A. Autonomy is wrong because autonomy is the ethical principle of respecting the patient’s right to self-determination and decision-making. The nurse is not asking for the client’s consent or preference before giving pain medication or turning them.

Choice B. Fidelity is wrong because fidelity is the ethical principle of being faithful and loyal to the patient and honoring one’s commitments and promises. The nurse is not demonstrating fidelity by giving pain medication or turning the client.

Choice C. Veracity is wrong because veracity is the ethical principle of telling the truth and being honest with the patient. The nurse is not providing any information or education to the client before giving pain medication or turning them.

The correct answer is choice D. A living will can specify which medical procedures a person wants or does not want to receive in certain situations, such as when they are terminally ill or permanently unconscious.

A living will is a type of advance directive, which is a legal document that provides instructions for medical care if a person is unable to make decisions for themselves.

Choice A is wrong because a person does not need to have advance directives in order to refuse recommended treatment.

They have the right to accept or decline any medical intervention at any time, as long as they are competent and able to communicate their wishes.

Choice B is wrong because a person does not need an attorney to name a designee in their health care proxy.

A health care proxy is another type of advance directive that appoints a person to make health care decisions for someone else if they are unable to do so.

A health care proxy can be completed without involving a lawyer, as long as it meets the state’s requirements for a valid document.

Choice C is wrong because a living will cannot be an oral statement that a person agrees upon with their provider.

A living will must be in writing and follow the state’s laws for creating legal documents.

Depending on the state, a living will may need to be signed by a witness or notarized.