A nurse is assisting with the care of a client who is experiencing a cardiac arrest. Which of the following tasks should the nurse assign to an assistive personnel?

Perform CPR on the client.

Assist with airway intubation.

Maintain IV access.

Place defibrillator pads on the client.

Answer and Explanation

The Correct Answer is A

A. Perform CPR on the client:

CPR (Cardiopulmonary Resuscitation) is a critical and time-sensitive intervention during a cardiac arrest. An assistive personnel trained in CPR can initiate chest compressions while awaiting further medical assistance.

B. Assist with airway intubation:

Airway intubation is a more advanced skill typically performed by healthcare providers such as physicians or advanced practice nurses. It is beyond the scope of practice for most assistive personnel.

C. Maintain IV access:

Maintaining IV access may require specific skills and knowledge about medications and fluids. While some assistive personnel may be trained in certain aspects of IV care, the level of expertise needed during a cardiac arrest may be beyond their scope.

D. Place defibrillator pads on the client:

Applying defibrillator pads involves handling medical equipment and making critical decisions about when to deliver a shock. This task is typically performed by healthcare providers trained in advanced cardiac life support (ACLS).

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Correct Answer is C

Explanation

A. Beneficence:

Beneficence is the ethical principle of doing good or promoting the well-being of the patient. In this scenario, the nurse is respecting the client's autonomy rather than actively promoting a specific course of action.

B. Fidelity:

Fidelity refers to the principle of being faithful or keeping promises. While being truthful and honest with the client is important, the nurse's response is primarily addressing the client's autonomy.

C. Autonomy:

This is the correct answer. Autonomy is the ethical principle that emphasizes the individual's right to make decisions about their own care, including the right to refuse treatment. The nurse's response acknowledges and respects the client's autonomy in deciding to discontinue enteral feedings.

D. Justice:

Justice pertains to fairness and equitable distribution of resources. It is not the primary ethical principle being demonstrated in this scenario, as the focus is on the individual's right to make a decision about their own care.

A. Informed consent B. Do-not-resuscitate order C. Advance directives D. Provider's prescription

Correct Answer is C

Explanation

A. Informed consent:

While informed consent may include information about the surgical procedure and potential risks, it typically does not address organ donation. Organ donation is usually a separate decision and may be documented in advance directives.

B. Do-not-resuscitate order:

A do-not-resuscitate (DNR) order specifies the client's wishes regarding resuscitation in the event of cardiac or respiratory arrest but does not contain information about organ donation.

C. Advance directives.

Advance directives are legal documents that outline a person's preferences for medical treatment in the event they become unable to communicate or make decisions for themselves. Within advance directives, individuals may express their wishes regarding organ donation. It's common for individuals to specify their desire to be an organ donor in these documents.

D. Provider's prescription:

A provider's prescription is a medical order for a specific treatment or medication. It does not typically contain information about organ donation, which is a personal decision made by the individual and documented in advance directives.

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