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 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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Related Questions
Correct Answer is D
Explanation
A. A multigravida client who has preeclampsia and is receiving misoprostol for induction of labor: This client has a complex medical condition and requires specialized obstetric care.
B. A client who has gestational diabetes and is receiving biweekly nonstress tests: This client requires routine antenatal monitoring, which may be within the scope of practice of an RN with experience in obstetrics.
C. A client who is at 32 weeks of gestation and has premature rupture of membranes: This client has a high-risk pregnancy complication and requires specialized obstetric care.
D. A primigravida client who is 1 day postoperative following a Cesarean section and has a PCA pump: This is the correct answer. This client has recently undergone surgery and has a patient- controlled analgesia (PCA) pump, indicating a need for postoperative care, pain management, and monitoring, which aligns with the skills of a medical-surgical nurse.
Correct Answer is D
Explanation
- Rationale for A: Observing the client's condition is an ongoing assessment task and while it is important, it is not the immediate action to take when a change in condition is noted. The nurse has already noticed a change, and further observation should follow intervention, not precede it.
- Rationale for B: Completing an incident report is a task that is done after an adverse event or error has occurred and been addressed. It is not the first action to take when a client's condition requires intervention, as it does not directly address the client's immediate needs.
- Rationale for C: Informing the nursing supervisor is an appropriate step, but it is not the first action to take. The supervisor may assist in the situation, but the provider who can give medical orders should be notified first to address the client's condition promptly.
- Rationale for D: Notifying the provider is the correct first action because the provider can assess the situation, make medical decisions, and order immediate interventions. This is the most direct way to initiate the necessary medical response to the client's change in condition.
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