A nurse is providing care for a surgeon on a medical-surgical unit. A nurse from another unit asks the nurse about the surgeon's medical diagnosis. The nurse responds that he is unable to provide the information requested. The nurse is displaying which of the following ethical principles?

Utility

Non-maleficence

Paternalism

Justice

Answer and Explanation

The Correct Answer is B

Answer: B. Non-maleficence

Rationale:

A. Utility:
The principle of utility refers to actions that maximize the overall good or benefit for the greatest number of people. In this scenario, the nurse’s refusal to share the surgeon's medical diagnosis does not directly relate to maximizing benefits, so this principle is not applicable.

B. Non-maleficence:
Non-maleficence is the ethical principle that involves the obligation to avoid causing harm to others. By not disclosing the surgeon's medical diagnosis, the nurse is protecting the surgeon's privacy and confidentiality, thereby preventing potential harm that could arise from sharing sensitive health information without consent.

C. Paternalism:
Paternalism refers to making decisions for others with the belief that it is in their best interest, often overriding their autonomy. The nurse's action of withholding information is not based on deciding what is best for the other nurse but rather on adhering to confidentiality principles.

D. Justice:
Justice in healthcare refers to fairness in the distribution of resources and treatment. The situation does not pertain to equitable treatment or allocation of resources, so this principle is not relevant in this context.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Take the medication with dairy products to increase absorption: Calcium carbonate antacids should not be taken with dairy products as they can reduce the absorption of calcium due to the formation of insoluble calcium salts. It's recommended to take calcium carbonate antacids between meals or with a light snack, but not with dairy products.
B. Decrease bulk in the diet to counteract the adverse effect of diarrhea: Calcium carbonate antacids can sometimes cause constipation rather than diarrhea. Increasing dietary fiber and fluid intake may help prevent constipation associated with the use of these antacids. Therefore, advising to decrease bulk in the diet is not appropriate.
C. Draw a glass of water after taking the medication: Calcium carbonate antacids should be taken with a full glass of water to ensure proper dissolution in the stomach and to prevent the risk of gastrointestinal irritation or obstruction. Water helps facilitate the dissolution and absorption of the medication, reducing the risk of adverse effects.
D. Reduce sodium intake: Calcium carbonate antacids may contain sodium, but reducing sodium intake is not a specific recommendation related to taking this medication. However, it's generally advisable to limit sodium intake for overall health, especially for individuals with conditions such as hypertension or heart failure.

A. Increase hematocrit B. Increased temperature C. Increased heart rate D. Increased respiratory rate E. Increased blood pressure

Correct Answer is ["C","D","E"]

Explanation

A. Increase hematocrit: Fluid overload typically leads to hemodilution, resulting in a decrease in hematocrit rather than an increase. Therefore, an increase in hematocrit would not be expected in a client with fluid overload.
B. Increased temperature: Fluid overload is not typically associated with an increased body temperature. Instead, fever may indicate an infection or another underlying cause. Therefore, an increased temperature would not be a typical finding in a client with fluid overload.
C. Increased heart rate: Fluid overload can lead to an increased heart rate as the body attempts to maintain adequate cardiac output in the presence of excess fluid volume. An elevated heart rate is a compensatory mechanism to maintain tissue perfusion despite the increased workload on the heart.
D. Increased respiratory rate: Fluid overload can cause pulmonary congestion, leading to increased respiratory effort and a higher respiratory rate as the body attempts to compensate for decreased gas exchange efficiency. An increased respiratory rate helps to improve oxygenation and remove excess carbon dioxide from the body.
E. Increased blood pressure: Fluid overload often leads to increased blood pressure due to the increased volume of circulating blood, which can strain the cardiovascular system. Elevated blood pressure is a common manifestation of fluid overload and reflects the increased workload on the heart and blood vessels.

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A nurse is providing care for a surgeon on a medical-surgical unit. A nurse from another unit asks the nurse about the surgeon's medical diagnosis. The nurse responds that he is unable to provide the information requested. The nurse is displaying which of the following ethical principles?

Rationale:

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Naxlex Comprehensive Predictor Exams

A nurse is completing a medication history for a client who reports using over-the-counter calcium carbonate antacid. Which of the following recommendations should the nurse make about taking this medication?

Correct Answer is C

Explanation

A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

A nurse on a medical-surgical unit is reconciling a newly admitted client's medication. The nurse is reviewing the process of medication reconciliation with a newly licensed nurse. The nurse should include which of the following information?

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