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 A

Explanation

A. Advance directives: Advance directives may contain information about the client's wishes for organ donation, along with other end-of-life preferences.
B. Informed consent: Informed consent is related to specific treatments or procedures and does not address organ donation.
C. Provider's prescription: Providers do not write prescriptions for organ donation; it is a legal decision made by the client.
D. Do-not-resuscitate (DNR) order: A DNR order only indicates that no resuscitation should be attempted in the event of cardiac or respiratory arrest.

A. Inserting an indwelling urinary catheter B. Receiving moderate sedation C. Inserting a peripheral IV catheter D. Suctioning a tracheostomy tube E. Undergoing cardiac catheterization

Correct Answer is ["B","E"]

Explanation

A. Inserting an indwelling urinary catheter: This is a routine procedure that does not require informed consent.
B. Receiving moderate sedation: Moderate sedation involves the risk of respiratory depression and other complications, necessitating informed consent.
C. Inserting a peripheral IV catheter: Routine IV insertion does not require formal informed consent.
D. Suctioning a tracheostomy tube: Suctioning is a standard care procedure that does not require informed consent.
E. Undergoing cardiac catheterization: Cardiac catheterization is an invasive diagnostic or therapeutic procedure with potential risks, requiring informed consent.

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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 nurse is caring for a client who is scheduled for surgery. While reviewing the client’s medical record the nurse notes the client is an organ donor. Which of the following documents provides information about organ donation?

Correct Answer is A

Explanation

A nurse is caring for a group of clients in a medical-surgical unit. The nurse should ensure that the client has signed an informed consent form prior to which of the following procedures? (Select all that apply.)

Correct Answer is ["B","E"]

Explanation

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