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.

Answer and Explanation

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 based solely on a DNR order may not be 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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Correct Answer is C

Explanation

A. Sending the incident report to the ethics committee is not standard procedure. Incident reports are typically reviewed by the risk management or quality improvement departments, not the ethics committee. This action does not indicate an understanding of the correct protocol for handling incident reports.

It is inappropriate to document in the client's medical record that an incident report was filed, as incident reports are separate from the medical record and are not part of the client's care documentation.

C.Including the client's account in the incident report is correct and ensures that the report accurately reflects the event from the client's perspective.

D. Listing names of witnesses to the fall in the nurses' notes is not appropriate. Witnesses' names should be included in the incident report, not in the client's medical record. This maintains the confidentiality of the witnesses and keeps the medical record focused on the client's care.

A. Change peripheral IV primary tubing every 96 hr. B. Replace peripheral IV solution bags every 96 hr. C. Replace total parenteral nutrition solution bags every 48 hr. D. Change total parenteral nutrition IV tubing every 48 hr.

Correct Answer is A

Explanation

A. Changing peripheral IV primary tubing every 96 hours is a standard practice that helps prevent infection and maintain the integrity of the IV system while also being cost-effective by reducing unnecessary changes.
B. While replacing peripheral IV solution bags every 96 hours might seem like a cost-saving measure, it may not align with best practices, as solution bags should be changed based on the facility's policy and the condition of the solution.
C. Total parenteral nutrition (TPN) solution bags typically need to be replaced more frequently than every 48 hours to prevent bacterial growth and ensure the integrity of the solution.
D. Changing total parenteral nutrition (TPN) IV tubing every 48 hours may be necessary to prevent contamination and maintain the sterility of the infusion, which can contribute to better patient outcomes despite potentially higher costs.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is supervising the actions taken by a staff nurse following a client fall. The charge nurse should identify that which of the following actions by the staff nurse indicates an understanding of the procedure?

Correct Answer is C

Explanation

A nurse is serving on a committee whose task is to plan cost-effective care at the facility. Which of the following client care tasks should the nurse recommend?

Correct Answer is A

Explanation

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 is preparing to fax information to a rehabilitative facility prior to transferring a client. Which of the following actions should the nurse plan to take?

A nurse is orienting a newly licensed nurse on the neurological unit. Which of the following clients should the nurse assign to the newly licensed nurse?

A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse take first?

A nurse is caring for a client who has a tumor. The provider recommends surgery. The client refuses, but the client's partner wants the surgery performed. Which of the following is the deciding factor in determining if the surgery will be done?

A nurse is observing a newly licensed nurse prepare a medication from an ampule for a client's injection. For which of the following actions by the newly licensed nurse should the nurse intervene?

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