A charge nurse in a long-term care facility is discussing ethical theories with a group of newly licensed nurses. Which of the following statements should the charge nurse identify as an indication that a newly licensed nurse understands utilitarianism?

A. “Discontinue the medication. I will ask your provider for another antibiotic.”: This is correct. Ciprofloxacin and other fluoroquinolones are associated with a risk of tendonitis and tendon rupture, particularly in the Achilles tendon. The pain in the calf muscle could indicate this side effect. The nurse should recommend discontinuing the medication and notifying the provider for further evaluation.

B. “That reaction means your dose is too high. Cut the pill in half.”: This is incorrect. The pain in the calf muscle is likely related to a known side effect of ciprofloxacin, rather than the dose being too high. Adjusting the dose is not the appropriate solution.

C. “Continue to take the medication. Calf pain is a minor reaction that will resolve itself.”: This is incorrect. Calf pain may be indicative of a serious side effect, such as tendonitis or tendon rupture, and the medication should be discontinued until the provider evaluates the client.

D. “This is an allergic reaction. Take the medication with an antihistamine.”: This is incorrect. The pain in the calf muscle is more likely due to tendon-related side effects, not an allergic reaction. Ciprofloxacin-related tendon pain requires immediate attention, and antihistamines would not address the underlying issue.

A. An entry on a nursing blog addressing wound healing: Nursing blogs can offer personal perspectives and experiences but may not always be evidence-based. The information can vary in quality and credibility.

B. A peer-reviewed journal article: This is correct. Peer-reviewed journal articles are the gold standard for evidence-based information because they have been evaluated by experts in the field and provide scientifically validated information.

C. First-hand experience with wound care products: While first-hand experience can be valuable, it is subjective and may not reflect the most current or broad evidence-based practices. It should be supplemented with research.

D. Information from a wound care product vendor: Although vendors may offer useful product-specific details, their information is often biased toward their own products and may not provide the most objective, evidence-based information available.