A nurse on a medical-surgical unit is caring for four clients. Which of the following actions by the nurse demonstrates fidelity?

Administering a pain medication to a client before ambulation

Stopping feeding for a client who becomes short of breath

Telling a client she will return with a medication and she does

Dividing time and care evenly between clients

Answer and Explanation

The Correct Answer is C

A. Administering pain medication before ambulation is an example of patient-centered care and pain management but does not specifically demonstrate fidelity, which relates to keeping promises and being trustworthy.
B. Stopping feeding when a client becomes short of breath is an appropriate response to prevent aspiration, but it is not an example of fidelity.
C. Telling a client she will return with a medication and following through with that commitment demonstrates fidelity by fulfilling a promise and showing reliability.
D. Dividing time and care between clients is part of effective time management, but it does not specifically represent fidelity, which emphasizes keeping promises to clients.

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Correct Answer is D

Explanation

A. QD (every day) is not an approved abbreviation due to the potential for misinterpretation, so it should not be used.
B. HS (at bedtime) is also not recommended as it can be confused with "half-strength," so it is not an approved abbreviation.
C. SQ (subcutaneous) is not commonly used in current practice as abbreviations may lead to errors; the term should be written out as "subcut" or "subcutaneously."
D. PO (by mouth) is an accepted and approved abbreviation used to indicate that a medication is to be taken orally, making it the correct choice for inclusion in the in-service.

A. Provide postmortem care for a client who died 1 hr ago. B. Reinforce discharge instructions with a client who is 2 days postoperative following an appendectomy. C. Interpret deviations in a client's vital signs. D. Insert an NG tube for a client who has difficulty eating.

Correct Answer is A

Explanation

A. Providing postmortem care is a task that can be delegated to assistive personnel, as it involves following established protocols and does not require clinical judgment.
B. Reinforcing discharge instructions requires clinical knowledge and assessment, making it inappropriate for delegation to an AP.
C. Interpreting deviations in a client's vital signs necessitates nursing judgment and clinical expertise, which an AP does not possess.
D. Inserting an NG tube is a skilled nursing procedure that requires assessment and decision-making, thus it should not be delegated to an AP.

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A nurse on a medical-surgical unit is caring for four clients. Which of the following actions by the nurse demonstrates fidelity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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