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.
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Related Questions
Correct Answer is C
Explanation
A. Help her arrange transferring her partner to an assisted living facility: While respite care may indirectly contribute to exploring long-term care options like assisted living, its primary purpose is to provide temporary relief to caregivers, rather than facilitating permanent transfers.
B. Provide volunteers who will run errands for her: While volunteer services may be part of some respite care programs, the primary benefit of respite care is to give the caregiver a
temporary break from caregiving duties, rather than solely focusing on running errands.
C. Allow her to take time off from attending to her partner: This is the correct answer. Respite care provides the caregiver with the opportunity to take a temporary break from caregiving responsibilities, allowing them to rest, rejuvenate, and attend to their own needs.
D. Send a clinician to assess the safety of leaving her partner alone: While safety assessments may be important, especially for individuals with cognitive impairment, respite care primarily focuses on providing temporary relief to caregivers rather than conducting safety assessments.
Correct Answer is A
Explanation
A. A client who sustained a concussion and is being monitored for complications: This client would likely have stable neurological status and require monitoring for signs of complications such as increased intracranial pressure or neurological deterioration. It is suitable for a newly licensed nurse who needs to develop assessment and monitoring skills.
B. A client who has Guillain-Barré syndrome and a tracheostomy: Guillain-Barré syndrome can present with rapidly progressive weakness and respiratory compromise, requiring close
monitoring and interventions such as tracheostomy care. This assignment may be more appropriate for an experienced nurse due to the complexity of care.
C. A client who has multiple sclerosis and ataxia: Multiple sclerosis is a chronic neurological condition that can present with various symptoms, including ataxia. Depending on the severity of symptoms and care needs, this assignment may require a nurse with experience in managing neurological conditions.
D. A client who has a brain tumor and is admitted for chemotherapy: This client may require specialized care related to chemotherapy administration, symptom management, and neurological assessments. It may be more suitable for an experienced nurse with knowledge of oncology and neurology.
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