A nurse is assisting with the care of a client who is scheduled for an elective surgery. The client informs the nurse that they no longer wish to proceed with surgery. Which of the following ethical principles should the nurse uphold for the client?

Veracity

Autonomy

Fidelity

Justice

Answer and Explanation

The Correct Answer is B

A. Veracity involves telling the truth and providing accurate information, but it does not directly address the client’s right to make decisions about their own care.

B. Autonomy is the ethical principle that recognizes the client’s right to make informed decisions about their own healthcare, including the right to refuse or withdraw consent for treatment or procedures. The nurse should respect the client’s decision and support their informed choice.

C. Fidelity refers to being faithful to agreements and maintaining trust in the nurse-client relationship, but it does not directly govern the client’s decision-making rights.

D. Justice involves fairness in the distribution of healthcare resources and treatment, which is not the primary ethical issue in the client’s decision to refuse surgery.

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Correct Answer is C

Explanation

A. Asking the client’s partner to interpret is not recommended, as it can lead to miscommunication, breaches of confidentiality, and potential bias in conveying medical information.

B. Using an internet-based translating service is unreliable for medical accuracy and may result in misinterpretation of critical health information.

C. Telephoning the facility-designated interpreter ensures accurate, professional interpretation while maintaining confidentiality and compliance with legal and ethical standards. This approach reduces the risk of errors and ensures the client can make informed decisions about their care.

D. Calling a colleague may seem convenient but is not a professional or guaranteed accurate method of interpretation and can compromise confidentiality or professional boundaries.

A. Reassess the temperature after 2 hours. B. Place the client in a warm blanket. C. Administer antipyretics as prescribed. D. Encourage the client to drink cold water.

Correct Answer is C

Explanation

A. Reassessing the temperature after 2 hours delays intervention and may allow the fever to worsen or cause discomfort to the client.

B. Placing the client in a warm blanket would increase body temperature further and is inappropriate when the client is febrile.

C. Administering antipyretics as prescribed is the most appropriate intervention to help reduce fever, relieve discomfort, and prevent complications associated with elevated body temperature, such as dehydration or tachycardia.

D. Encouraging the client to drink cold water may provide temporary relief, but it does not actively treat the fever or address the underlying cause.

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A nurse is assisting with the care of a client who is scheduled for an elective surgery. The client informs the nurse that they no longer wish to proceed with surgery. Which of the following ethical principles should the nurse uphold for the client?

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