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?
Implied consent
Good Samaritan Act
Nonmaleficence
Living will
The Correct Answer is A
A. Implied consent: Implied consent applies in emergency situations where the patient is unable to provide consent due to their condition. In such cases, healthcare providers are permitted to proceed with necessary treatment, including emergency surgery, to prevent further harm or save the patient's life.
B. Good Samaritan Act: The Good Samaritan Act provides legal protection to individuals who provide assistance in an emergency situation. It does not directly address the issue of consent for medical treatment.
C. Nonmaleficence: Nonmaleficence is an ethical principle that emphasizes the duty to do no harm. While it guides healthcare providers in decision-making, it does not address the issue of consent for treatment.
D. Living will: A living will is a legal document that outlines a person's preferences for medical treatment in the event they become incapacitated. However, it is not applicable in emergency situations where immediate treatment decisions are necessary.
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Related Questions
Correct Answer is C
Explanation
A. Nonmaleficence: This principle emphasizes the obligation to avoid causing harm. While the absence of a gait belt could have contributed to the client's fall, the primary ethical concern in this scenario is related to truthfulness and honesty in documentation rather than solely avoiding harm.
B. Fidelity: Fidelity refers to the obligation to fulfill commitments and obligations. While accurate documentation is part of professional integrity, the primary ethical issue in this scenario is related to honesty and accuracy in reporting rather than fidelity to commitments.
C. Veracity: This is the correct answer. Veracity refers to truthfulness and honesty. The charge nurse should ensure that incident reports accurately reflect the circumstances surrounding a client's fall, including the absence of a gait belt, to maintain ethical standards and promote patient safety.
D. Beneficence: Beneficence involves acting in the best interest of the patient and promoting their well-being. While the absence of a gait belt may have compromised the client's safety, the primary ethical issue in this scenario is related to truthfulness in reporting rather than directly promoting the client's well-being.
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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