A charge nurse provides an annual in-service for the nursing staff regarding ethical practice.
Which of the following actions include as an example of ethical practice?
A nurse withholds nutrition from a client who has a do-not-resuscitate (DNR) order.
A nurse administers prescribed opioids to a client who has a terminal illness and respiratory rate of 8/min.
A nurse elects not to care for a client who had an abortion.
A nurse raises all four side rails on the bed of a client who is confused.
The Correct Answer is B
A. A nurse withholds nutrition from a client who has a do-not-resuscitate (DNR) order:
Withholding nutrition from a client solely based on a DNR order may not align with ethical practice, as nutrition should be provided unless there are specific contraindications or the client has expressed wishes to withhold nutrition.
B. A nurse administers prescribed opioids to a client who has a terminal illness and respiratory rate of 8/min: This is the correct answer. Ethical practice involves providing comfort measures, including appropriate pain management, to clients who are terminally ill and experiencing pain or distress, even if it may inadvertently decrease the respiratory rate.
C. A nurse elects not to care for a client who had an abortion: Refusing to care for a client based on personal beliefs or judgments about their medical history or decisions may not align with
ethical practice, as nurses have a professional obligation to provide nonjudgmental care to all clients.
D. A nurse raises all four side rails on the bed of a client who is confused: While ensuring client safety is important, raising all four side rails without considering the client's individual needs and preferences may not be ethical practice, as it may infringe on the client's autonomy and dignity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Elevating the head of the client’s bed to 30° before inserting a nasogastric (NG) tube is incorrect. The proper position for NG tube insertion is typically with the client sitting upright at 45–90° to reduce the risk of aspiration and facilitate the passage of the tube through the esophagus. This action requires intervention by the charge nurse to correct the positioning.
B. Maintaining the chest tube collection device below the level of the insertion site when ambulating the client is correct. This positioning prevents backflow of drainage into the pleural space, which could lead to complications such as pneumothorax or infection. No intervention is needed for this action.
C. Assisting the client into a fetal position on their side in preparation for a lumbar puncture is correct. This position helps to widen the spaces between the vertebrae, allowing easier access to the spinal canal for the procedure. This action does not require intervention.
D. Assessing the client’s gag reflex following an esophagogastroduodenoscopy (EGD) is correct. After an EGD, the client’s gag reflex must return before allowing oral intake to prevent aspiration. This action does not require intervention.
Correct Answer is D
Explanation
A. A client who is receiving heparin and has an aPTT of 34 seconds: While monitoring heparin therapy is important, this client's condition does not necessarily require an interdisciplinary conference at this time.
B. A client who has orthostatic hypotension and is receiving IV fluids: Management of orthostatic hypotension and IV fluids may require coordination among nursing and medical staff, but it may not necessitate an interdisciplinary conference unless there are significant
complications or complex care needs.
C. A client who has Type 1 diabetes and uses an insulin pump: While managing diabetes may involve coordination between nursing and other healthcare professionals, clients using insulin
pumps typically have established care plans and may not require an interdisciplinary conference unless there are specific issues or changes in management.
D. A client who is at risk for pressure ulcers and has an albumin level of 4.2 g/dL: This is the correct answer. Clients at risk for pressure ulcers often require input from multiple disciplines, including nursing, wound care specialists, nutritionists, and possibly physical therapists, to develop and implement comprehensive care plans aimed at preventing pressure ulcers and
promoting wound healing. An interdisciplinary conference can facilitate coordination of care and ensure all aspects of the client's needs are addressed.
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