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 C

Explanation

A. Obtain informed consent from the client for the blood transfusion: Verifying that informed consent is obtained is essential, but obtaining consent is the provider's responsibility. The nurse's role is to ensure the consent has been signed and documented.
B. Delegate the client's care to an RN: If the nurse receiving the shift report is already an RN, delegating the care to another RN is unnecessary unless there are specific time constraints or workload considerations.
C. Access the nursing information system for guidelines about blood transfusions: This is an appropriate action to ensure that institutional policies and guidelines are followed regarding blood administration, which may include steps for patient identification, infusion rates, and monitoring for reactions.
D. Inform the charge nurse of the need to reassign the client's care: This is typically not necessary unless the assigned nurse lacks the competency to administer blood products or has competing responsibilities that prevent safe monitoring of the transfusion.

A. Place throw rugs on uncarpeted floors in the client's home. B. Ensure the client wears non-skid slippers when walking around the house. C. Encourage an annual review of the medications the client is taking. D. Install a raised toilet seat in the client's bathroom. E. Attach full-length side rails to the client's bed.

Correct Answer is ["B","C","D"]

Explanation

A. Place throw rugs on uncarpeted floors in the client's home. Throw rugs are a tripping hazard and should be removed or secured.
B. Ensure the client wears non-skid slippers when walking around the house: Non-skid slippers provide traction and reduce the risk of slipping.
C. Encourage an annual review of the medications the client is taking. Many medications can cause dizziness or sedation, increasing fall risk, so regular medication reviews are essential.
D. Install a raised toilet seat in the client's bathroom. A raised toilet seat makes it easier for older adults to use the toilet and reduces the risk of falls when standing or sitting.
E. Attach full-length side rails to the client's bed. Full-length side rails can increase the risk of injury if the client attempts to climb over them. Half-rails may be safer.

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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 receives a change-of-shift report and learns that one of their assigned clients is scheduled to receive a blood transfusion. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with the family of an older adult client about safety precautions. Which of the following recommendations should the nurse include to reduce the risk of a client fall? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

A nurse is assisting with selecting clients for discharge due to a local external disaster. Which of the following clients should the nurse recommend for discharge?

A nurse in a long-term care facility is reviewing the facility documentation policies with a newly licensed nurse. Which of the following abbreviations should the nurse remind the newly licensed nurse to use when documenting care?

A nurse on a medical-surgical unit has just received a change-of-shift report for four clients. Which of the following tasks should the nurse assign to an assistive personnel?

A nurse notices that a client's health information is visible on an unattended computer screen at the nurses' station. Which of the following actions should the nurse take first?

A nurse is caring for an older adult client who has a new diagnosis of cancer. Which of the following client statements indicates the nurse should act as a client advocate?

A nurse is discussing conflict resolution with a group of assistive personnel. Which of the following information should the nurse include in the discussion?

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?

A nurse is preparing to discharge a client who had a cerebrovascular accident and has left-sided weakness. The client is having difficulty completing ADLs. Which of the following is the priority action by the nurse?