A home care nurse visits a client who is confined to bed and is cared for by an adult child with substance use disorder. The home is cluttered and unclean, and the nurse notes that the client is wet with urine and shows signs of dehydration. After caring for the client, the nurse contacts the health care provider and reports the incident to Adult Protective Services. What ethical principle is the nurse practicing?
autonomy
nonmaleficence
justice
fidelity
The Correct Answer is B
A. Autonomy refers to respecting the patient’s right to make their own decisions. While important, it is not the ethical principle that guides the nurse's decision to report the situation to Adult Protective Services.
B. Nonmaleficence refers to the duty to do no harm. Reporting the neglect of the client to Adult Protective Services is consistent with preventing further harm and ensuring the client’s safety.
C. Justice refers to fairness and equal treatment. While the nurse is working to protect the client, the situation involves more than just fairness, making nonmaleficence the more applicable principle.
D. Fidelity refers to loyalty and keeping promises, but it does not specifically guide the nurse’s action in this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Valsartan (Diovan) is an angiotensin II receptor blocker (ARB), and although it can cause side effects like dizziness or elevated potassium levels, it is less commonly associated with angioedema compared to ACE inhibitors.
B. Amlodipine (Norvasc) is a calcium channel blocker, and while it can cause edema, it does not typically cause facial and tongue swelling.
C. Enalapril (Vasotec) is an ACE inhibitor and is known to cause angioedema, a serious side effect that involves swelling of the face, lips, tongue, or throat. This can lead to difficulty breathing or speaking, and it requires immediate medical attention.
D. Metoprolol succinate (Toprol XL) is a beta-blocker and is not commonly associated with angioedema. It may cause other side effects like bradycardia or hypotension but not facial or tongue swelling.
Correct Answer is D
Explanation
A. The Code of Ethics for Nurses offers broad ethical guidelines, but it does not provide specific clinical practice guidelines.
B. The Code does touch on social justice issues, but it is not primarily focused on critiquing societal oppression or domination.
C. While the Code supports good care, it is more about establishing ethical standards rather than providing direct care guidelines.
D. The Code expresses nursing's commitment to society, outlining the profession's ethical standards and obligations toward patients and society as a whole.
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