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.
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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Related Questions
Correct Answer is D
Explanation
A. Examine personal values: Understanding personal biases is important, but this is not the initial step in ethical decision-making.
B. Agree on a desired outcome: Reaching a consensus is essential but should come after gathering the necessary information.
C. Create a plan of action: Developing a plan is premature without gathering facts and understanding the situation.
D. Collect the relevant facts: Gathering all relevant information is the first step to understanding the ethical dilemma and determining an appropriate response.
Correct Answer is D
Explanation
A. Weigh the client every other day. Daily weights are essential for monitoring fluid retention in pulmonary edema.
B. Place the client in a supine position. The client should be placed in a high Fowler's position to improve lung expansion and reduce dyspnea.
C. Encourage the client to ambulate three times per day. Clients with pulmonary edema are often too compromised to ambulate frequently. Rest is initially preferred.
D. Report urine output less than 30 mL/hr. Low urine output may indicate decreased renal perfusion, fluid retention, or worsening heart failure, all of which require prompt reporting.
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