A nurse is assisting in the development of an in-service on ethics for a group of newly licensed nurses. The nurse should include which of the following situations as examples of the ethical principle of fidelity? (Select all that apply.)

A nurse contacts a client's family member upon the client's request.

A nurse returns to a client's room within a specified time frame.

A nurse provides the same care to clients regardless of their socioeconomic status.

A nurse reinforces education and evaluates a client's understanding.

A nurse administers pain medication prior to ambulating a postoperative client.

Answer and Explanation

Correct Answer : A,B,E

A.   A nurse contacts a client's family member upon the client's request. Fidelity involves keeping promises or fulfilling client requests.
B.   A nurse returns to a client's room within a specified time frame. Keeping a promise to return demonstrates fidelity.
C.   A nurse provides the same care to clients regardless of their socioeconomic status. This exemplifies the ethical principle of justice, not fidelity.
D.   A nurse reinforces education and evaluates a client's understanding. This reflects the ethical principle of beneficence (doing good) rather than fidelity.
E.   A nurse administers pain medication prior to ambulating a postoperative client. Administering pain medication as promised demonstrates fidelity.

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Correct Answer is D

Explanation

A. "Have you tried holding your infant skin-to-skin?": Important for bonding and soothing but not the priority for postoperative care.
B. "Have you considered joining a parents' support group?": Beneficial for emotional support but not immediately essential for the infant's recovery.
C. "What is your infant's level of activity?": Relevant for assessing overall recovery but not the most critical issue.
D. "Is your infant able to latch on during breastfeeding?" Feeding is the priority concern after cleft palate repair to ensure adequate nutrition and assess for complications.

A. "The client is 2 hours postoperative following a cholecystectomy." B. "The client rates her pain at a 3 on a 0 to 10 pain rating scale." C. "The client has type 2 diabetes mellitus." D. "The client should wear compression stockings."

Correct Answer is B

Explanation

A. "The client is 2 hours postoperative following a cholecystectomy." This belongs in the "B" (Background) section since it provides historical or procedural information.
B. "The client rates her pain at a 3 on a 0 to 10 pain rating scale." This is part of the "A" (Assessment) portion as it involves the nurse's evaluation of the client's current condition.
C. "The client has type 2 diabetes mellitus." This is background information relevant to the client's medical history and should be included in the "B" section.
D. "The client should wear compression stockings." This is part of the "R" (Recommendation) section as it involves future care instructions.

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A nurse is assisting in the development of an in-service on ethics for a group of newly licensed nurses. The nurse should include which of the following situations as examples of the ethical principle of fidelity? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home health nurse is visiting the home of a 9-month-old infant who is 2 weeks postoperative following a cleft palate repair. Which of the following questions is the priority for the nurse to ask?

Correct Answer is D

Explanation

A nurse is preparing to provide a change-of-shift report. Using the SBAR communication technique, which of the following client information should the nurse include in the "A" portion of the report?

Correct Answer is B

Explanation

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