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 B

Explanation

A. Determine how current practice will affect future performance within the facility: While this is an important consideration for improving performance, it does not directly involve benchmarking against external standards or practices.
B. Compare practices within the facility against other high-performing facilities: This is the correct answer. Benchmarking involves comparing the organization's practices, processes, and performance metrics against those of other high-performing organizations or industry standards to identify areas for improvement and best practices.
C. Establish work initiatives to promote a positive environment: While promoting a positive work environment is important for organizational success, it is not directly related to benchmarking as control criteria.
D. Use root cause analysis to identify gaps in meeting standards: Root cause analysis is a method used to identify underlying causes of problems or failures. While it may be part of a quality improvement process, it is not specifically related to benchmarking.

A. The soiled dressing is placed on a nearby table. B. Sterile supplies are opened prior to removing the old dressing. C. Clean gloves are discarded after removing the old dressing. D. Gauze is used to clean the wound from the outside to the center.

Correct Answer is C

Explanation

A. Placing the soiled dressing on a nearby table is not a safe handling technique because it can contaminate the surface and increase the risk of infection. Proper disposal of soiled dressings in a designated biohazard container is essential to maintain a sterile environment.

B. Opening sterile supplies prior to removing the old dressing can compromise the sterility of the supplies. It is important to remove the old dressing first, clean the wound, and then open sterile supplies to ensure they remain uncontaminated.

C. Discarding clean gloves after removing the old dressing demonstrates an understanding of infection control. This action prevents cross-contamination between the old dressing and the new sterile supplies, maintaining a sterile field.

D. Using gauze to clean the wound from the outside to the center is incorrect because it can spread bacteria from the surrounding skin into the wound. The proper technique is to clean from the center of the wound outward to prevent introducing contaminants into the wound.

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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 nurse administrator is using benchmarking as control criteria while reviewing current policies and procedures. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A charge nurse is observing a newly licensed nurse change a client's wound dressing. Which of the following actions by the newly licensed nurse demonstrates an understanding of safe handling techniques?

Correct Answer is C

Explanation

A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of-shift report?

A nurse is planning discharge for a client who had a lung resection. The nurse initiates a referral for a social worker. Which of the following assessment data supports this referral?

A nurse manager is reviewing the rate of medication errors on a surgical floor and finds that it is 20% above the national average. Which of the following actions should the nurse manager take?

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?

A nurse suggests respite care for the partner of a client who has mild cognitive impairment. The client's partner asks the nurse how that would help. The nurse should explain that respite care would do which of the following?

A nurse in a rehabilitation facility is administering medications to a client who was admitted earlier that day. The client refuses two of the medications, stating, "I've never taken these before." Which of the following actions should the nurse take first?

A nurse is preparing a client for surgery. The client expresses concern that someone might steal her purse during the procedure. Which of the following actions should the nurse take?

A client who is unconscious and has extensive internal injuries arrives via ambulance to the emergency unit. Which of the following permits the staff to proceed with emergency surgery?